SCOTT RICHARD JORDAN DMD
NPI 1639866213
Dentist in Middleton, ID

Q: What is Scott Jordan's NPI number?

The NPI number for Scott Jordan is 1639866213. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Q: What is Scott 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 Scott Jordan was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 April 24, 2023

201 S PARADISE AVE, MIDDLETON, ID 83644(208) 585-0048(208) 466-5359 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Scott Richard Jordan Dmd NPPES

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

SCOTT RICHARD JORDAN DMD (NPI 1639866213) is an individual dentist in Middleton, Idaho, licensed in Idaho (D-5558) and active in the NPI registry since April 2023. He maintains a secondary practice location in South Jordan.

NPPES Registry Identity

NPI1639866213

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameSCOTT RICHARD JORDANCredential: DMD

Location Address201 S PARADISE AVEMiddleton, ID 83644-5809

Mailing Address1501 Kings HwyShreveport, LA 71103-4228 · (318) 626-0434

Phone(208) 585-0048

Fax(208) 466-5359

Sole ProprietorYes

Enumeration DateApril 24, 2023

Last NPPES UpdateJune 23, 2025

NPPES CertifiedJune 23, 2025

✔ NPI 1639866213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in ID · D-5558✔ Licensed in UT · 13346887-9923

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

201 S PARADISE AVE, Middleton, ID 83644

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Secondary Practice Location 1

Location 110237 S Otter Trail DrSouth Jordan, UT 84009-7703 · Phone (208) 960-5953

Accepted Insurance

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

Other Providers at the Same Location NPPES 11

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

ALMA MARTINEZ DMD

Dentist (Prosthodontics)