Ruth Jordan
Dental Assistant
577 Sternberg Ave
Fort Eustis
, Virginia 23604-1526
Ruth Jordan
Dental Assistant
577 Sternberg Ave
Fort Eustis
, Virginia 23604-1526
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Ruth Jordan
- 1988 Van Voorhis St Unit A
- Fort Eustis, VA
- Zip : 23604-1409
- Phone :
Second Address
- Ruth Jordan
- 577 Sternberg Ave
- Fort Eustis, VA
- Zip : 23604-1526
- Phone : (757) 314-7825
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1205418456 |
|---|---|
| Provider Name | Ruth Jordan |
| First Address | Fort Eustis, VA 23604-1409 |
| Second Address | Fort Eustis, VA 23604-1526 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2021 |
| Last Update Date | 27/04/2021 |
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.