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

DR. RODERICK QUENNEL JORDAN JR., DMD

Active Sole Proprietor

DR. RODERICK QUENNEL JORDAN JR., DMD is a General Dentistry healthcare provider located in MARYLAND HEIGHTS, Missouri. NPI 1588453484 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · MARYLAND HEIGHTS, MO

Registration Details

NPI Number
1588453484
Provider Type
Individual
Gender
Male
NPI Issued
May 6, 2025 (1.2482719833077 yrs)
Last Updated
Jul 22, 2025
License
2025024688 (MO)
Sole Proprietor
Yes

Practice Information

Address
40 WELDON PKWY
MARYLAND HEIGHTS, MO, 630433202
Browse MO providers · Browse ZIP 63043
Phone
3142544000
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in MARYLAND HEIGHTS, MO

Name Credential NPI
DR. DENNIS MARVIN ANGLIM D.D.S. 1386742963
DR. STEWART G SACHTLEBEN D.D.S 1679786222
DR. ERIC SNYDER D.D.S. 1285074625
DR. DARREN PAUL HALLUMS DDS 1760993414
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.