Individual provider · Type 1 NPI

Jordan Chelsey Douglas

Dentist · Corona, CA

NPI number 1063011799 Active

Practice location

460 N Mckinley St
Corona, CA 92879-3405

Mailing address

770 S Grand Ave Apt 5066
Los Angeles, CA 90017-3949

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X105748 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1063011799

Jordan Chelsey Douglas's National Provider Identifier is 1063011799, issued on Oct 23, 2020. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Corona, CA. The record was last updated on Oct 23, 2020.