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WILLARDEAN CARROLL JORDANDULA DDS
NPI 1396308268
Dentist in Winston Salem, NC

Active since April 17, 2019
3200 CUMBERLAND RD, WINSTON SALEM, NC 27105(336) 744-1323 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 30, 2020, Apr 17, 2019 (2 updates tracked since 2019).

About Willardean Carroll Jordandula Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLARDEAN CARROLL JORDANDULA DDS (NPI 1396308268) is an individual dentist in Winston Salem, North Carolina, licensed in North Carolina (6298) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1396308268
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameWILLARDEAN CARROLL JORDANDULACredential: DDS
Location Address3200 CUMBERLAND RDWinston Salem, NC 27105-3303
Mailing Address3200 Cumberland RdWinston Salem, NC 27105-3303 · (336) 744-1323
Phone(336) 744-1323
Sole ProprietorNo
Enumeration DateApril 17, 2019
Last NPPES UpdateJanuary 30, 20202 updates tracked since enumeration
✔ NPI 1396308268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NC · 6298
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3200 CUMBERLAND RD, Winston Salem, NC 27105
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willardean Jordandula's NPI number?

The NPI number for Willardean Jordandula is 1396308268. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Willardean Jordandula located?

Willardean Jordandula practices at 3200 Cumberland Rd, Winston Salem, NC 27105. The listed phone number is (336) 744-1323.

What is Willardean Jordandula's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Willardean Jordandula was last updated on January 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.