Individual provider · Type 1 NPI

Jordan Ray Ledger, DDS

Oral and Maxillofacial Surgery (Dentist) · Chicago, IL

NPI number 1417248261 Active

Practice location

1229 W Washington Blvd, Suite 220
Chicago, IL 60607-2132

Fax (312) 610-5638

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X019.028719 (IL)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X08856 (IA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1417248261

Jordan Ray Ledger, DDS's National Provider Identifier is 1417248261, issued on Apr 27, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Chicago, IL. The record was last updated on May 7, 2021.