Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN GHIASSI, DMD
ActiveDR. JORDAN GHIASSI, DMD is a Periodontology healthcare provider located in SANTA FE, New Mexico. NPI 1053795112 is currently active in the NPPES registry. Verify at CMS.
Periodontology · SANTA FE, NM
Registration Details
- NPI Number
- 1053795112
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2015 (11.060483379929 yrs)
- Last Updated
- Jan 11, 2021
- Licenses
-
DD4342 (NM)DD4342 (NM)
Practice Information
- Address
-
2100 CALLE DE LA VUELTA UNIT E101SANTA FE, NM, 875054819Browse NM providers · Browse ZIP 87505
- Phone
- 5059885752
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in SANTA FE, NM
| Name | Credential | NPI |
|---|---|---|
| MR. KENNETH BRIAN RUSANOWSKI | DDS | 1174675185 |
| BILL DEAN PARKER | D.D.S. | 1205026796 |
| DR. JOHN JEFFREY MELTON | DDS | 1326206814 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.