DR. CHARLES JORDAN DMD
NPI 1518516392
Dentist in Statesboro, GA

Q: What is Charles Jordan's NPI number?

The NPI number for Charles Jordan is 1518516392. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Q: What is Charles Jordan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Jordan was last updated on November 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 05, 2019

412 NORTHSIDE DR E, STATESBORO, GA 30458(912) 225-0777 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 12, 2019, Sep 5, 2019 (2 updates tracked since 2019).

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About Dr. Charles Jordan Dmd NPPES

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

DR. CHARLES JORDAN DMD (NPI 1518516392) is an individual dentist in Statesboro, Georgia, licensed in Georgia (DN015930) and active in the NPI registry since September 2019. He maintains a secondary practice location in Vidalia.

NPPES Registry Identity

NPI1518516392

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. CHARLES JORDANCredential: DMD

Location Address412 NORTHSIDE DR EStatesboro, GA 30458-4802

Mailing Address1713 Green Acres DrVidalia, GA 30474-8531 · (912) 293-4642

Phone(912) 225-0777

Sole ProprietorNo

Enumeration DateSeptember 5, 2019

Last NPPES UpdateNovember 12, 20192 updates tracked since enumeration

✔ NPI 1518516392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in GA · DN015930

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.

412 NORTHSIDE DR E, Statesboro, GA 30458

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Secondary Practice Location 1

Location 1401 Durden StVidalia, GA 30474-4600 · Phone (912) 537-7211 · Fax (912) 537-1011

Other Identifiers 1

Other053162016Drivers License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SMITH & PURVIS FAMILY PRACTICE CLINIC, PC

Family Medicine

412 NORTHSIDE DR E, SUITE 200
STATESBORO, GA 30458

Bulloch County (912) 764-9684

STATESBORO UROLOGIC CLINIC, PC

Urology

412 NORTHSIDE DR E, SUITE 500
STATESBORO, GA 30458

Bulloch County (912) 764-6808

MRS. CHERYL JEAN ARD ANP-BC

Nurse Practitioner (Adult Health)

412 NORTHSIDE DR E
STATESBORO, GA 30458

Bulloch County (912) 764-9684

JEBEDIAH S CHRISTY DDS - STATESBORO PLLC

Dentist (General Practice)

412 NORTHSIDE DR E
STATESBORO, GA 30458

Bulloch County (912) 225-0777

PAUL J TILSON MD

Urology

412 NORTHSIDE DR E, #500
STATESBORO, GA 30458

Bulloch County (912) 764-6808

SUBUHI SIDDIQUI DDS

Dentist

412 NORTHSIDE DR E
STATESBORO, GA 30458

Bulloch County (912) 225-0777

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 Charles Jordan's NPI number?

The NPI number for Charles Jordan is 1518516392. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Where is Charles Jordan located?

Charles Jordan practices at 412 Northside Dr E, Statesboro, GA 30458. The listed phone number is (912) 225-0777.

What is Charles Jordan's specialty?

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

What insurance does Charles Jordan accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Charles Jordan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Jordan was last updated on November 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.