Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT RICHARD JORDAN, DMD
Active Sole ProprietorSCOTT RICHARD JORDAN, DMD is a Dentist healthcare provider located in MIDDLETON, Idaho. NPI 1639866213 is currently active in the NPPES registry. Verify at CMS.
Dentist · MIDDLETON, ID
Registration Details
- NPI Number
- 1639866213
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2023 (3.2870138715721 yrs)
- Last Updated
- Jun 23, 2025
- Licenses
-
13346887-9923 (UT)D-5558 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 S PARADISE AVEMIDDLETON, ID, 836445809Browse ID providers · Browse ZIP 83644
- Phone
- 2085850048
- Fax
- 2084665359
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Dentist
Other Dentist Providers in MIDDLETON, ID
| Name | Credential | NPI |
|---|---|---|
| ASHLEY CLARENCE SMITH | DMD | 1144382722 |
| DR. ARIES J GANIR | DMD | 1902925126 |
| RUSTIN G HAWKER | DDS | 1912569732 |
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.