Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY HAROLD JORDAN, DMD
Deactivated Sole ProprietorDR. TIMOTHY HAROLD JORDAN, DMD is a General Dentistry healthcare provider located in WOODLAND HILLS, California. NPI 1477654515 is deactivated in the NPPES registry. Verify at CMS.
General Dentistry · WOODLAND HILLS, CA
This NPI has been deactivated.
The record was deactivated on February 7, 2012.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1477654515
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2006 (5.3688524590164 yrs)
- Last Updated
- Mar 13, 2015
- Deactivated
- Feb 7, 2012
- License
-
28575 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23111 VENTURA BLVDSUITE 104WOODLAND HILLS, CA, 91364Browse CA providers · Browse ZIP 91364
- Phone
- 8054993691
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in WOODLAND HILLS, CA
| Name | Credential | NPI |
|---|---|---|
| DR. BRUCE MICHAEL MCCLOSKEY | DDS | 1124014535 |
| DR. KERRY LIZA CHAN | D.D.S. | 1043237589 |
| DR. DEAN L. BROWN | DDS | 1386745222 |
| DR. CHRISTOPHER T HERRON | D.D.S. | 1386732089 |
| SHIRIN ETEMADI | DDS | 1902996085 |
| MRS. JALEH JANET MAKABI | DDS | 1770666877 |
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.