NPI 1053632901

Dashiell Jordan, MD

Practitioner Family Medicine Physician Lewiston, ME

Practice location

Address: 99 Campus Ave STE 201, Lewiston, ME 04240-6045
Phone: (207) 777-8810
Fax: (207) 777-8155
Mailing address: PO Box 1638, Albany, NY 12201-1638

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence TD171104 (ME)

Other Family Medicine providers in Maine →

Registry record

NPI: 1053632901
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2010
Record last updated: 21 Jul 2022

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.