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Jordan Russell Haire, DMD
Student in an Organized Health Care Education/Training Program in Hilton Head Island, South Carolina
NPI 1205444171

Jordan Russell Haire is a Student in an Organized Health Care Education/Training Program based in Hilton Head Island, SC. Jordan Russell Haire practices in Hilton Head Island, SC and has the professional credentials of DMD. The NPI Number for Jordan Russell Haire is 1205444171 and holds a License No. (South Carolina).

The current practice location address for Jordan Russell Haire is 4101 Main St Ste D, Hilton Head Island, SC and can be reached out via phone at 843-682-4601.

Location: 4101 Main St Ste D, Hilton Head Island, SC, 29926-4609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205444171
Provider Name
Jordan Russell Haire
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
4101 Main St Ste D, Hilton Head Island, SC, 29926-4609
Phone Number
843-682-4601
Fax Number
Provider Enumeration Date
07/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4101 Main St Ste D
City
Hilton Head Island
State
South Carolina
Zip
29926-4609
Phone Number
843-682-4601
Fax Number
person
Provider Business Mailing Address Details
Address
4101 Main St Ste D
City
Hilton Head Island
State
South Carolina
Zip
29926-4609
Phone Number
843-682-4601
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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