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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN FREEARK, DDS

Active Sole Proprietor

JORDAN FREEARK, DDS is a Oral & Maxillofacial Surgery healthcare provider located in PARRIS ISLAND, South Carolina. NPI 1508268699 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · PARRIS ISLAND, SC

Registration Details

NPI Number
1508268699
Provider Type
Individual
Gender
Male
NPI Issued
Sep 19, 2014 (11.727388760332 yrs)
Last Updated
Aug 14, 2024
License
64081 (CA)
Sole Proprietor
Yes

Practice Information

Address
674 BOULEVARD DE FRANCE
PARRIS ISLAND, SC, 29905
Browse SC providers · Browse ZIP 29905
Phone
8432282402
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
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.