IndividualActive
Robert Jordan, DDS
NPI 1487725727 · Oral and Maxillofacial Pathology Dentistry · Knoxville, TN
Provider details
- NPI number
- 1487725727
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DS0000004461 (TN)
Specialties & taxonomies
Dental Providers
Practice location
109 S Northshore Dr
Suite 404
Knoxville, TN 37919-4939
Phone: (865) 588-9589
Fax: (865) 588-9865
Approximate (ZIP-level) locationGet directions
Mailing address
109 S Northshore Dr
Knoxville, TN 37919-4939
Registry dates
- Enumerated
- 2006-11-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.