Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KALISHA JORDAN, DDS
ActiveDR. KALISHA JORDAN, DDS is a Endodontics healthcare provider located in WILLIAMSBURG, Virginia. NPI 1497826960 is currently active in the NPPES registry. Verify at CMS.
Endodontics · WILLIAMSBURG, VA
Registration Details
- NPI Number
- 1497826960
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 13, 2006 (19.768115815906 yrs)
- Last Updated
- Jul 2, 2013
- License
-
0401411472 (VA)
Practice Information
- Address
-
105 BULIFANTS BLVDSUITE BWILLIAMSBURG, VA, 231885717Browse VA providers · Browse ZIP 23188
- Phone
- 7579032577
- Fax
- 7579032866
- Primary Specialty
-
Endodontics
1223E0200X
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.