Mrs. Kelly Jean Jordan
Dental Assistant Dental Hygienist
2300 Lancaster Dr Ne
Salem
, Oregon 97305-1223
Mrs. Kelly Jean Jordan
Dental Assistant Dental Hygienist
2300 Lancaster Dr Ne
Salem
, Oregon 97305-1223
(503) 269-1438
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About
Features
Specialties
- Dental Hygienist
- Dental Assistant
Languages spoken
- English
Location
First Address
- Mrs. Kelly Jean Jordan
- 932 Dearborn Ave N
- Keizer, OR
- Zip : 97303-6326
- Phone : (503) 269-1438
Second Address
- Mrs. Kelly Jean Jordan
- 2300 Lancaster Dr Ne
- Salem, OR
- Zip : 97305-1223
- Phone : (503) 370-4313
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 6265 | OR |
| N | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1023377819 |
|---|---|
| Provider Name | Mrs. Kelly Jean Jordan |
| First Address | Keizer, OR 97303-6326 |
| Second Address | Salem, OR 97305-1223 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2012 |
| Last Update Date | 10/09/2012 |
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.