Whalio Doctors

NPI 1033266291

Christopher N. Jordan, DDSMSDPC

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry Wauwatosa, WI

Practice location

Address
11711 W Burleigh St, Wauwatosa, WI 53222-3196
Phone
(414) 771-2345
Fax
(414) 777-3839
Mailing address
PO Box 1727, Brookfield, WI 53008-1727

Registered specialties (2)

Orthodontics and Dentofacial Orthopedics Dentistry Primary
Dental Providers Taxonomy 1223X0400X Licence 1002704 (WI)
Orthodontics and Dentofacial Orthopedics Dentistry
Dental Providers Taxonomy 1223X0400X Licence 021001986 (IL)

Registry record

NPI
1033266291
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Jan 2007
Record last updated
1 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.