Search › Idaho › 122300000X
Scott Jordan, DMD
NPI 1639866213 · on the registry since 2023 · sole proprietor
Practice
- Address
- 201 S Paradise Ave
Middleton, ID 83644 - Phone
- (208) 585-0048
- Fax
- (208) 466-5359
- Organisation at this address
- Community Health Clinics, Inc.
Community Health Clinics, Inc.
Community Health Clinics, Inc.
Community Health Clinics, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Additional practice sites
- 10237 S Otter Trail Dr, South Jordan, UT
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
390200000X - Licence states on file
- UT, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho