Active NPI
Hannah Leann Jordan, DMD
- General Practice Dentistry
- Kingstree, SC
National Provider Identifier
1922784297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DGD.10547
- Practice address
- 601 N Longstreet St
Kingstree, SC 29556-3303 - Phone
- (843) 355-7606
- Fax
- (843) 355-7506
- NPI assigned
- Jun 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DGD.10547 | SC | Primary |
Addresses
Primary practice location
601 N Longstreet St
Kingstree, SC 29556-3303
Mailing address
601 N Longstreet St
Kingstree, SC 29556-3303
Phone (843) 355-7606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DGD.10547 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1922784297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N LONGSTREET ST",
"city": "KINGSTREE",
"state": "SC",
"postal_code": "295563303",
"telephone_number": "843-355-7606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N LONGSTREET ST",
"city": "KINGSTREE",
"state": "SC",
"postal_code": "295563303",
"telephone_number": "843-355-7606",
"fax_number": "843-355-7506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "HANNAH",
"middle_name": "LEANN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-22",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "DGD.10547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingstree, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.