| Kevin R Jordan Dmd Inc | |
| 
					154 Scott St Olive Hill KY 41164  | |
| (606) 286-4121 | |
| Not Available | 
| Full Name | Kevin R Jordan Dmd Inc | 
|---|---|
| Speciality | Dentist | 
| Location | 154 Scott St, Olive Hill, Kentucky | 
| Authorized Official Name and Position | Kevin R Jordan (OWNER) | 
| Authorized Official Contact | 6062864121 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kevin R Jordan Dmd Inc Po Box 562 Olive Hill KY 41164 Ph: (606) 286-4121  | Kevin R Jordan Dmd Inc 154 Scott St Olive Hill KY 41164 Ph: (606) 286-4121  | 
| NPI Number | 1447473939 | 
|---|---|
| Provider Enumeration Date | 04/11/2007 | 
| Last Update Date | 09/03/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447473939 | NPI | - | NPPES | 
| 60068681 | Medicaid | KY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 6868 (Kentucky) | Primary |