Jordan Nolan, DMD is a
Student In An Organized Health Care Education/training Program based in San Antonio, Texas. Jordan Nolan is licensed to practice in * (Not Available) (license number ) and his current practice location is
11590 Galm Rd Ste 105, San Antonio, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 672-4200.
NPI number for Jordan Nolan is 1891584934 and his current mailing address is 2011 E Ruby Ln, Phoenix, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891584934.
Healthcare Provider's Profile
| Full Name | Jordan Nolan |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 11590 Galm Rd Ste 105, San Antonio, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891584934
- Provider Enumeration Date: 05/05/2025
- Last Update Date: 11/21/2025
Medical Identifiers
Medical identifiers for Jordan Nolan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891584934 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 41951 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Nolan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jordan Nolan, DMD
2011 E Ruby Ln,
Phoenix, AZ 85024-8617
Ph: () - | Jordan Nolan, DMD
11590 Galm Rd Ste 105,
San Antonio, TX 78254-4549
Ph: (210) 672-4200 |
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