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

EBONY JORDAN, DDS

Active

EBONY JORDAN, DDS is a Pediatric Dentistry healthcare provider located in SOUTH PASADENA, California. NPI 1891009346 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · SOUTH PASADENA, CA

Registration Details

NPI Number
1891009346
Provider Type
Individual
Gender
Female
NPI Issued
Jul 27, 2010 (16.083234393096 yrs)
Last Updated
Apr 4, 2024
Licenses
12012022A (IN)
DDS103462 (CA)
12012022A (IN)

Practice Information

Address
1427 MISSION ST
SOUTH PASADENA, CA, 910303213
Browse CA providers · Browse ZIP 91030
Phone
6264031800
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry
Additional Specialty
Dentist

Other Pediatric Dentistry Providers in SOUTH PASADENA, CA

Name Credential NPI
DR. TONY S HWANG DDS 1124153671
PETER STANTON JOE DDS 1326205428
MS. YOUNGSUN ALICE KIM-BUNDY DMD 1417110669
JESSICA CHOI D.M.D 1780980151
DR. WESLEY WON YONG CHOI D.D.S. 1861805954
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.