NPI 1114433091

Amanda Rose Jordan, RDH

Practitioner Dental Hygienist Lewiston, ME

Practice location

Address: 19 Pettingill St, Lewiston, ME 04240-5903
Phone: (207) 513-1111
Fax: (207) 513-1197
Mailing address: 269 Hebron Rd, Buckfield, ME 04220-4136

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence RDH4147 (ME)

Other Dental Hygienist providers in Maine →

Registry record

NPI: 1114433091
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2017
Record last updated: 14 Dec 2017

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.