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Jordan Endres, DDS
General Practice Dentistry in Roseburg, Oregon
NPI 1083073522

Jordan Endres is a General Practice Dentistry based in Roseburg, OR and is specialized in General Practice. Jordan Endres practices in Roseburg, OR and has the professional credentials of DDS. The NPI Number for Jordan Endres is 1083073522 and holds a License No. RR60578878 (Oregon).

The current practice location address for Jordan Endres is 150 Ne Kenneth Ford Dr, Roseburg, OR and can be reached out via phone at 541-672-9596. You can also correspond with Jordan Endres through the mailing address at 1116 SE TERRACE DR, ROSEBURG, OR - 97470-4360 (mailing address contact number: 480-286-1188).

Location: 150 Ne Kenneth Ford Dr, Roseburg, OR, 97470-4360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083073522
Provider Name
Jordan Endres
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
150 Ne Kenneth Ford Dr, Roseburg, OR, 97470-4360
Phone Number
541-672-9596
Fax Number
Provider Enumeration Date
02/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
150 Ne Kenneth Ford Dr
City
Roseburg
State
Oregon
Zip
97470-1042
Phone Number
541-672-9596
Fax Number
person
Provider Business Mailing Address Details
Address
150 Ne Kenneth Ford Dr
City
Roseburg
State
Oregon
Zip
97470-1042
Phone Number
541-672-9596
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D10432 (Oregon)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
RR60578878 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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