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NPI 1912331265

IndividualActive

Andrea Jordan, A.D.T.

NPI 1912331265 · Dental Therapist · Saint Paul, MN

Provider details

NPI number: 1912331265
Entity type: Individual
Primary specialty: Dental TherapistDental Providers
Credential: A.D.T.
Sex: Female
Sole proprietor: No
License: H5837 (MN)

Practice location

895 7th St E

Saint Paul, MN 55106

Phone: (651) 602-7500

More MN providers

Mailing address

366 Hall Ave

Saint Paul, MN 55107-1132

Registry dates

Enumerated: 2013-08-22
Last updated: 2018-06-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Andrea Jordan, A.D.T. — NPI 1912331265, Saint Paul, MN | NPI Central