Active NPIIndividual provider

Amanda R Jordan, RDH

Dental Hygienist in Lewiston, Maine

NPI Number1114433091
Practice location
19 Pettingill St, Lewiston, ME 04240-5903
Fax
207-513-1197
Last updated
December 14, 2017

Amanda Rose Jordan is a Dental Hygienist based in Lewiston, ME. Amanda Rose Jordan practices in Lewiston, ME and has the professional credentials of RDH. The NPI Number for Amanda Rose Jordan is 1114433091 and holds a License No. RDH4147 (ME). The current practice location address for Amanda Rose Jordan is 19 Pettingill St, Lewiston, ME 04240-5903 and can be reached out via phone at 207-513-1111 and via fax at 207-513-1197.

Provider Profile Details

NPI Number
1114433091
Provider Name
Amanda Rose Jordan
Credential
RDH
Provider Entity Type
Individual
Gender
Female
Address
19 Pettingill St, Lewiston, ME 04240-5903
Phone Number
207-513-1111
Fax Number
207-513-1197
Primary Taxonomy
Dental Hygienist · 124Q00000X
Sole Proprietor
No
Provider Enumeration Date
December 14, 2017
Last Update Date
December 14, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Pettingill St
Lewiston, ME 04240-5903
State
Maine
Zip
04240-5903
Phone Number
207-513-1111
Fax Number
207-513-1197
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
269 Hebron RD
Buckfield, ME 04220-4136
City
Buckfield
State
ME
Zip
04220-4136
Phone Number
207-740-4170

License Information

License Number
RDH4147
License State
ME
Taxonomy
Dental Hygienist · 124Q00000X · 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 Amanda R Jordan, RDH?

The NPI number of Amanda R Jordan, RDH is 1114433091. It was assigned on December 14, 2017 and is currently active in the NPPES registry.

What is the specialty of Amanda R Jordan, RDH?

Amanda R Jordan, RDH is registered under the primary taxonomy Dental Hygienist (code 124Q00000X), licensed in ME under license number RDH4147.

Where does Amanda R Jordan, RDH practice?

The practice location is 19 Pettingill St, Lewiston, ME 04240-5903. The office can be reached at 207-513-1111 (phone) or 207-513-1197 (fax).

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 1114433091 directly on the NPPES registry website.

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