IndividualActive
Bradley Jordan, D.D.S.
NPI 1841553708 · Dentist · Brookings, SD
Provider details
- NPI number
- 1841553708
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 08903 (IA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
802 20th St S
Brookings, SD 57006-4663
Phone: (605) 930-4343
Approximate (ZIP-level) locationGet directions
Mailing address
802 20th St S
Brookings, SD 57006-4663
Registry dates
- Enumerated
- 2012-06-15
- Last updated
- 2025-03-28
- Certified
- 2025-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.