Dr. Jordan Ghiassi
Periodontist Dentist - General Practice
2100 Calle De La Vuelta Unit E101
Santa Fe
, New Mexico 87505-4819
Dr. Jordan Ghiassi
Periodontist Dentist - General Practice
2100 Calle De La Vuelta Unit E101
Santa Fe
, New Mexico 87505-4819
(505) 988-5752
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About
Features
Specialties
- General Practice
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Jordan Ghiassi
- 2100 Calle De La Vuelta Unit E101
- Santa Fe, NM
- Zip : 87505-4819
- Phone : (505) 988-5752
Second Address
- Dr. Jordan Ghiassi
- 2100 Calle De La Vuelta Unit E101
- Santa Fe, NM
- Zip : 87505-4819
- Phone : (505) 988-5752
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FAQs
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Is Dr. Jordan Ghiassi a sole practitioner?
Is Dr. Jordan Ghiassi accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223G0001X | General Practice | DD4342 | NM |
| N | 213EG0000X | General Practice | DD4342 | NM |
| Y | 1223P0300X | Periodontist | DD4342 | NM |
National Provider Identifier
| NPI | 1053795112 |
|---|---|
| Provider Name | Dr. Jordan Ghiassi |
| First Address | Santa Fe, NM 87505-4819 |
| Second Address | Santa Fe, NM 87505-4819 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2015 |
| Last Update Date | 11/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.