Individual provider · Type 1 NPI
Catrinel Elena Jordan, DDS, MS
Dental Clinic/Center · Prairieville, LA
NPI number
1104176353
Active
Practice location
16270 Airline Hwy Ste B
Prairieville, LA 70769-4589
Fax (225) 673-6815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Dental Clinic/Center Primary | 261QD0000X | 6275 (LA) |
Dental Clinic/Center: Definition to come...
About NPI 1104176353
Catrinel Elena Jordan, DDS, MS's National Provider Identifier is 1104176353, issued on Sep 14, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Prairieville, LA. The record was last updated on May 26, 2026.