IndividualActive
Jordan Diamond, DMD
NPI 1295155455 · Oral & Maxillofacial Surgery (D.M.D.) · Spokane, WA
Provider details
- NPI number
- 1295155455
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DE60824201 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
Practice location
2204 E 29th Ave Ste 104
Spokane, WA 99203
Phone: (509) 321-1404
Approximate (ZIP-level) locationGet directions
Mailing address
2204 E 29th Ave Ste 104
Spokane, WA 99203-3961
Additional practice locations (1)
- 11909 N Division St Ste 101Spokane, WA 99218-1903Phone: (509) 321-1404
Registry dates
- Enumerated
- 2014-04-25
- Last updated
- 2024-10-18
- Certified
- 2024-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.