Dr. Benjamin S Jordan, DMD
Dentist, General Practice in Louisville, Kentucky
1598484768- Practice location
- 4420 Dixie Hwy Ste 110, Louisville, KY 40216-2986
- Phone
- 502-305-2534
- Fax
- —
- Last updated
- September 13, 2024
Benjamin Slader Jordan is a Dentist, General Practice based in Louisville, KY. Benjamin Slader Jordan practices in Louisville, KY and has the professional credentials of DMD. The NPI Number for Benjamin Slader Jordan is 1598484768 and holds a License No. 11056 (KY). The current practice location address for Benjamin Slader Jordan is 4420 Dixie Hwy Ste 110, Louisville, KY 40216-2986 and can be reached out via phone at 502-305-2534.
Provider Profile Details
- NPI Number
- 1598484768
- Provider Name
- Benjamin Slader Jordan
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4420 Dixie Hwy Ste 110, Louisville, KY 40216-2986
- Phone Number
- 502-305-2534
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 23, 2022
- Last Update Date
- September 13, 2024
- Certification Date
- September 13, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4420 Dixie Hwy Ste 110
Louisville, KY 40216-2986 - City
- Louisville
- State
- Kentucky
- Zip
- 40216-2986
- Phone Number
- 502-305-2534
Provider Business Mailing Address Details
- Address
- 75 Stanford St Apt A
South Portland, ME 04106-1548 - City
- South Portland
- State
- ME
- Zip
- 04106-1548
License Information
- License Number (1)
- 11056
- License State (1)
- KY
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X · Primary
- License Number (2)
- DEN5005
- License State (2)
- ME
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X
- License State (3)
- ME
- Taxonomy (3)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Benjamin S Jordan, DMD?
The NPI number of Dr. Benjamin S Jordan, DMD is 1598484768. It was assigned on August 23, 2022 and is currently active in the NPPES registry.
What is the specialty of Dr. Benjamin S Jordan, DMD?
Dr. Benjamin S Jordan, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in KY under license number 11056.
Where does Dr. Benjamin S Jordan, DMD practice?
The practice location is 4420 Dixie Hwy Ste 110, Louisville, KY 40216-2986. The office can be reached at 502-305-2534 (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 1598484768 directly on the NPPES registry website.