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

JORDAN JON ANNIS

Active

JORDAN JON ANNIS is a Dentist healthcare provider located in ELM GROVE, Wisconsin. NPI 1548873292 is currently active in the NPPES registry. Verify at CMS.

Dentist · ELM GROVE, WI

Registration Details

NPI Number
1548873292
Provider Type
Individual
Gender
Male
NPI Issued
Aug 24, 2020 (5.7980481739575 yrs)
Last Updated
Dec 6, 2023
License
1002421-15 (WI)

Practice Information

Address
15255 WATERTOWN PLANK RD STE 100
ELM GROVE, WI, 531222338
Browse WI providers · Browse ZIP 53122
Phone
2627847770
Primary Specialty
Dentist
122300000X

Other Dentist Providers in ELM GROVE, WI

Name Credential NPI
DR. DAVID ANDREW PARIS D.D.S. 1770622813
DR. SUSAN MEINERZ D.D.S. 1013052364
DR. JOSEPH ANTHONY PAVLETICH JR. D.D.S. 1447412457
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.