Active NPI
Hugh F. Jordan, D.D.S., P.C.
- General Practice Dentistry
- Vidalia, GA
National Provider Identifier
1871756601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8514
- Legal business name
- HUGH F. JORDAN, D.D.S., P.C.
- Practice address
- 401 Durden St
Vidalia, GA 30474-4600 - Phone
- (912) 537-7211
- Fax
- (912) 537-1011
- NPI assigned
- Jul 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hugh Frederick Jordan, D.D.S.
- Title
- President
- Phone
- (912) 537-7211
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8514 | GA | Primary |
Addresses
Primary practice location
401 Durden St
Vidalia, GA 30474-4600
Mailing address
401 Durden St
Vidalia, GA 30474-4600
Phone (912) 537-7211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00089702B | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
401 Durden St
Vidalia, GA 30474
Phone (912) 537-7211
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Vidalia, GA
- NPI 1609899368
-
- Dentist
- Statesboro, GA
- NPI 1518516392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214956800000",
"number": "1871756601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 DURDEN ST",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304744600",
"telephone_number": "912-537-7211",
"fax_number": "912-537-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 DURDEN ST",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304744600",
"telephone_number": "912-537-7211",
"fax_number": "912-537-1011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUGH F. JORDAN, D.D.S., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-02",
"last_updated": "2008-07-02",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "HUGH",
"authorized_official_middle_name": "FREDERICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "912-537-7211",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "8514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00089702B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vidalia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.