Active NPIIndividual providerSole proprietor

Samantha L Jordan, DMD

Dentist in Lowell, Massachusetts

NPI Number1083909535
Practice location
161 Jackson St, Lowell, MA 01852-2103
Fax
—
Last updated
May 3, 2017

Samantha Len Jordan is a Dentist based in Lowell, MA. Samantha Len Jordan practices in Lowell, MA and has the professional credentials of DMD. The NPI Number for Samantha Len Jordan is 1083909535 and holds a License No. DEN1001367 (DC). The current practice location address for Samantha Len Jordan is 161 Jackson St, Lowell, MA 01852-2103 and can be reached out via phone at 978-937-9700.

Provider Profile Details

NPI Number
1083909535
Provider Name
Samantha Len Jordan
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
161 Jackson St, Lowell, MA 01852-2103
Phone Number
978-937-9700
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
June 13, 2011
Last Update Date
May 3, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
161 Jackson St
Lowell, MA 01852-2103
City
Lowell
Zip
01852-2103
Phone Number
978-937-9700
Lowell, MA 01852Get directions →

Provider Business Mailing Address Details

Address
161 Jackson St
Lowell, MA 01852-2103
City
Lowell
State
MA
Zip
01852-2103
Phone Number
978-937-9700

License Information

License Number (1)
DEN1001367
License State (1)
DC
Taxonomy (1)
Dentist · 122300000X
License Number (2)
DN1855713
License State (2)
MA
Taxonomy (2)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samantha L Jordan, DMD?

The NPI number of Samantha L Jordan, DMD is 1083909535. It was assigned on June 13, 2011 and is currently active in the NPPES registry.

What is the specialty of Samantha L Jordan, DMD?

Samantha L Jordan, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in DC under license number DEN1001367.

Where does Samantha L Jordan, DMD practice?

The practice location is 161 Jackson St, Lowell, MA 01852-2103. The office can be reached at 978-937-9700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083909535 directly on the NPPES registry website.

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