Individual provider · Type 1 NPI

Jordan Ghiassi, DMD

Periodontics · Santa Fe, NM

NPI number 1053795112 Active

Practice location

2100 Calle De La Vuelta Unit E101
Santa Fe, NM 87505-4819

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XDD4342 (NM)
Periodontics Primary 1223P0300XDD4342 (NM)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1053795112

Jordan Ghiassi, DMD's National Provider Identifier is 1053795112, issued on Jul 17, 2015. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Santa Fe, NM. The record was last updated on Jan 11, 2021.