IndividualActive
Jordan Freeark, DDS
NPI 1508268699 · Oral and Maxillofacial Surgery (Dentist) · Parris Island, SC
Provider details
- NPI number
- 1508268699
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 64081 (CA)
Specialties & taxonomies
Dental Providers
Practice location
674 Boulevard De France
Parris Island, SC 29905
Phone: (843) 228-2402
Approximate (ZIP-level) locationGet directions
Mailing address
1015 Bolling Ave Unit 309
Norfolk, VA 23508-1612
Registry dates
- Enumerated
- 2014-09-19
- Last updated
- 2024-08-14
- Certified
- 2024-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.