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

JORDAN BERRY

Active Sole Proprietor

JORDAN BERRY is a Dental Hygienist healthcare provider located in MACON, Missouri. NPI 1891145975 is currently active in the NPPES registry. Verify at CMS.

Dental Hygienist · MACON, MO

Registration Details

NPI Number
1891145975
Provider Type
Individual
Gender
Male
NPI Issued
Jun 20, 2016 (10.004703360614 yrs)
Last Updated
Jun 20, 2016
License
2015016912 (MO)
Sole Proprietor
Yes

Practice Information

Address
209 N MISSOURI ST
MACON, MO, 635522151
Browse MO providers · Browse ZIP 63552
Phone
6603955045
Primary Specialty
Dental Hygienist
124Q00000X

Other Dental Hygienist Providers in MACON, MO

Name Credential NPI
SHANNON M SIMS RDH 1134664782
MELISSA AUSMUS RDH 1992262539
BARBARA CARTER RDH 1801432653
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.