National Provider Identifier
Jordan Randall Boland, DDS
Jordan Randall Boland, DDS is listed in the NPPES registry with a primary specialty of Dentist in Olean, NY and a listed phone number of (716) 373-1210.
Profile Overview
- NPI
- 1063162352
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- March 28, 2022
- Last Updated
- September 07, 2023
Practice Location
- 2108 W State St
- Olean, NY 14760-1952
Phone: (716) 373-1210
Specialties
- Dentist (122300000X)
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1063162352
- Entity Type
- Individual
- Last Name
- Boland
- First Name
- Jordan
- Middle Name
- Randall
- Credential
- DDS
- Mailing Street Address
- 2108 W State St
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-1952
- Mailing Country
- US
- Mailing Phone
- (716) 373-1210
- Practice Street Address
- 2108 W State St
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-1952
- Practice Country
- US
- Practice Phone
- (716) 373-1210
- Enumeration Date
- March 28, 2022
- Last Updated
- September 07, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 07, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X), General Practice Dentistry (1223G0001X)