IndividualActive
Ruth Jordan
NPI 1205418456 · Dental Assistant · Fort Eustis, VA
Provider details
- NPI number
- 1205418456
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Practice location
577 Sternberg Ave
Fort Eustis, VA 23604-1526
Phone: (757) 314-7825
Approximate (ZIP-level) locationGet directions
Mailing address
1988 Van Voorhis St Unit a
Fort Eustis, VA 23604-1409
Registry dates
- Enumerated
- 2021-04-27
- Last updated
- 2021-04-27
- Certified
- 2021-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.