Individual provider · Type 1 NPI

Ebony Jordan, DDS

Pediatric Dentistry · South Pasadena, CA

NPI number 1891009346 Active

Practice location

1427 Mission St
South Pasadena, CA 91030-3213

Call (626) 403-1800 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X12012022A (IN)
Pediatric Dentistry Primary 1223P0221XDDS103462 (CA)
Dentist 122300000X12012022A (IN)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

4 other providers at this address

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About NPI 1891009346

Ebony Jordan, DDS's National Provider Identifier is 1891009346, issued on Jul 27, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in South Pasadena, CA. The record was last updated on Apr 4, 2024.