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

JORDAN ELIZABETH IMMEL, DMD

Active

JORDAN ELIZABETH IMMEL, DMD is a Oral & Maxillofacial Surgery healthcare provider located in JEFFERSON CITY, Missouri. NPI 1669080214 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · JEFFERSON CITY, MO

Registration Details

NPI Number
1669080214
Provider Type
Individual
Gender
Female
NPI Issued
Jul 20, 2020 (6.0542976072842 yrs)
Last Updated
Jan 2, 2025
Licenses
2020022417 (MO)
2020022417 (MO)

Practice Information

Address
1511 CHRISTY DR
JEFFERSON CITY, MO, 651012854
Browse MO providers · Browse ZIP 65101
Phone
5736322777
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in JEFFERSON CITY, MO

Name Credential NPI
DR. RICHARD FRANCIS GRAHAM D.D.S. 1215043104
DR. JONATHAN GRANT HANSON D.D.S. 1518073402
DR. MICHAEL THOMAS BAUMAN DMD 1205089851
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.