Individual provider · Type 1 NPI
Jordan Ralliford
General Practice Dentistry · Glenmont, NY
NPI number
1215823075
Active
Practice location
11 Moriah Rd
Glenmont, NY 12077-2981
Mailing address
51 Fallon Ave
Elmont, NY 11003-3605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 065930 (NY) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Other general practice dentistry providers in Glenmont
About NPI 1215823075
Jordan Ralliford's National Provider Identifier is 1215823075, issued on Jun 17, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Glenmont, NY. The record was last updated on Oct 21, 2026.