National Provider Identifier
Shawn Francis Jordan, DDS, MS
Shawn Francis Jordan, DDS, MS is listed in the NPPES registry with a primary specialty of Dentist in Tonawanda, NY and a listed phone number of (716) 695-3636.
Profile Overview
- NPI
- 1386809333
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- July 18, 2008
- Last Updated
- July 17, 2023
Practice Location
- 125 Grand Island Blvd
- Tonawanda, NY 14150-6603
Phone: (716) 695-3636
Specialties
- Dentist (122300000X)
- Endodontics (1223E0200X)
Full Record
- NPI
- 1386809333
- Entity Type
- Individual
- Last Name
- Jordan
- First Name
- Shawn
- Middle Name
- Francis
- Name Prefix
- Dr.
- Credential
- DDS, MS
- Mailing Street Address
- 125 Grand Island Blvd
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-6603
- Mailing Country
- US
- Mailing Phone
- (716) 695-3636
- Mailing Fax
- (716) 264-4160
- Practice Street Address
- 125 Grand Island Blvd
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-6603
- Practice Country
- US
- Practice Phone
- (716) 695-3636
- Practice Fax
- (716) 264-4160
- Enumeration Date
- July 18, 2008
- Last Updated
- July 17, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- July 17, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X), Endodontics (1223E0200X)
- Other Identifiers
- 05227936 (NY)