IndividualActive
Richard Jordan, DDS PHD
NPI 1710949979 · Oral and Maxillofacial Pathology Dentistry · San Francisco, CA
Provider details
- NPI number
- 1710949979
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DDS PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 58144 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
513 Parnassus Ave
San Francisco, CA 94143-2205
Phone: (415) 476-4868
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 10076
Van Nuys, CA 91410-0076
Registry dates
- Enumerated
- 2006-04-04
- Last updated
- 2009-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.