NPI 1295155455

Jordan Diamond, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Spokane, WA

Practice location

Address: 2204 E 29th Ave STE 104, Spokane, WA 99203
Phone: (509) 321-1404
Mailing address: 2204 E 29th Ave STE 104, Spokane, WA 99203-3961

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DE60824201 (WA)

Other Oral & Maxillofacial Surgery providers in Washington →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence DE60824201 (WA)

Other Dentist providers in Washington →

Registry record

NPI: 1295155455
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2014
Record last updated: 18 Oct 2024

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.