Bill Jordan, DMD, PC

Organization Active NPI Dental Clinic/Center · Tualatin, OR

NPI 1790942779 · NPPES record last updated May 19, 2008

Key facts

NPI
1790942779
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
License
6424 (OR)
Legal business name
BILL JORDAN, DMD, PC
Practice address
18789 SW Boones Ferry Rd
Tualatin, OR 97062-8412
Phone
(503) 692-6535
Fax
(503) 691-2831
NPI assigned
May 19, 2008
Organization subpart
No

Authorized official

Name
Dr. Bill Jordan, DMD, FAGD
Title
Owner
Phone
(503) 692-6535

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

18789 SW Boones Ferry Rd
Tualatin, OR 97062
Phone (503) 692-6535

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6424 OR Yes

Addresses

Primary practice location

18789 SW Boones Ferry Rd
Tualatin, OR 97062-8412

Mailing address

18789 SW Boones Ferry Rd
Tualatin, OR 97062-8412
Phone (503) 692-6535

Other providers in Tualatin, OR

All providers in Tualatin, OR · Dental Clinic/Center in Oregon

Sources for this page

Verify at the official NPI Registry.