person
Dr. Walter Wayne Jordan, DDSPA
General Practice Dentistry in Durham, North Carolina
NPI 1831109198

Walter Wayne Jordan is a General Practice Dentistry based in Durham, NC and is specialized in General Practice. Walter Wayne Jordan practices in Durham, NC and has the professional credentials of DDSPA. The NPI Number for Walter Wayne Jordan is 1831109198 and holds a License No. 4076 (North Carolina).

The current practice location address for Walter Wayne Jordan is 2900 Croasdaile Drive, Durham, NC and can be reached out via phone at 919-383-7402 and via fax at 919-383-3755.

Location: 2900 Croasdaile Drive, Durham, NC, 27705
person
Provider Profile Details
NPI Number
1831109198
Provider Name
Walter Wayne Jordan
Credential
DDSPA
Provider Entity Type
Individual
Gender
Male
Address
2900 Croasdaile Drive, Durham, NC, 27705
Phone Number
919-383-7402
Fax Number
919-383-3755
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0137M 01 NC BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2900 Croasdaile Drive
City
State
Zip
27705
Phone Number
919-383-7402
Fax Number
919-383-3755
person
Provider Business Mailing Address Details
Address
2900 Croasdaile Drive
City
State
Zip
27705
Phone Number
919-383-7402
Fax Number
919-383-3755
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
4076 (North Carolina)
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.
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