| Jordan Perriman DDS LLC | |
|
2109 Ne 72nd St Ste 101 Gladstone MO 64118-7903 | |
| (816) 452-3420 | |
| (816) 454-2777 |
| Full Name | Jordan Perriman DDS LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2109 Ne 72nd St Ste 101, Gladstone, Missouri |
| Authorized Official Name and Position | Jordan Perriman (DENTIST) |
| Authorized Official Contact | 4058022412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Perriman DDS LLC 2109 Ne 72nd St Ste 101 Gladstone MO 64118-7903 Ph: (816) 452-3420 | Jordan Perriman DDS LLC 2109 Ne 72nd St Ste 101 Gladstone MO 64118-7903 Ph: (816) 452-3420 |
| NPI Number | 1528877388 |
|---|---|
| Provider Enumeration Date | 01/06/2025 |
| Last Update Date | 01/06/2025 |
| Certification Date | 12/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528877388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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