JORDAN IMMEL, DMD
Dentist - Oral and Maxillofacial Surgery
Active
Individual
NPI: 1669080214
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 2020022417 (MO) |
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | Yes | 2020022417 (MO) |
Frequently Asked Questions
NPI 1669080214 is the National Provider Identifier for JORDAN IMMEL, DMD, a Dentist - Oral and Maxillofacial Surgery provider located in Jefferson City, MO. This NPI was enumerated on July 20, 2020.
JORDAN IMMEL, DMD practices at 1511 CHRISTY DR, Jefferson City, MO 65101.
Quick Facts
- NPI
- 1669080214
- Type
- Individual
- Enumerated
- Jul 20, 2020
- Last Updated
- Jan 2, 2025
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