Jordan Wayne Smith, DDS, MD is a
Oral & Maxillofacial Surgery based in Loma Linda, California. Jordan Wayne Smith is licensed to practice in California (license number DDS105202) and his current practice location is
11234 Anderson St, Gme Office Westerly Suite 'c', Loma Linda, California. He can be reached at his office (for appointments etc.) via phone at
(909) 558-4671.
NPI number for Jordan Wayne Smith is 1689295008 and his current mailing address is 301 9th St Ste 119, Redlands, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689295008.
Healthcare Provider's Profile
Full Name | Jordan Wayne Smith |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 11234 Anderson St, Loma Linda, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689295008
- Provider Enumeration Date: 04/27/2020
- Last Update Date: 04/30/2025
Medical Identifiers
Medical identifiers for Jordan Wayne Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689295008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DDS105202 (California) | Secondary |
208600000X | Surgery | PTL14402 (California) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | DDS105202 (California) | 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 Wayne Smith 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 Wayne Smith, DDS, MD 301 9th St Ste 119, Redlands, CA 92374-4497 Ph: (308) 661-4700 | Jordan Wayne Smith, DDS, MD 11234 Anderson St, Gme Office Westerly Suite 'c', Loma Linda, CA 92354-2804 Ph: (909) 558-4671 |
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