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TERESA DANIELLE JORDAN DMD
NPI 1780888693
Dentist - Pediatric Dentistry in Atlanta, GA

Active since June 13, 2007
2646 GRESHAM RD SE, ATLANTA, GA 30316(404) 212-9060(404) 212-9020 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Teresa Danielle Jordan Dmd NPPES

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

TERESA DANIELLE JORDAN DMD (NPI 1780888693) is an individual pediatric dentistry provider in Atlanta, Georgia, licensed in Georgia (DN012645) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1780888693
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameTERESA DANIELLE JORDANCredential: DMD
Location Address2646 GRESHAM RD SEAtlanta, GA 30316-4148
Mailing Address150 Milano Dr SwAtlanta, GA 30331-8381 · (770) 449-0836 · Fax (770) 441-0299
Phone(404) 212-9060
Fax(404) 212-9020
Sole ProprietorNo
Enumeration DateJune 13, 2007
Last NPPES UpdateFebruary 20, 2017
✔ NPI 1780888693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in GA · DN012645
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2646 GRESHAM RD SE, Atlanta, GA 30316
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Other Identifiers 1

Medicaid108964405GA

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 Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

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

EAST ATLANTA PEDIATRIC DENTISTRY PC
Dentist (Pediatric Dentistry)
2646 GRESHAM RD SE
ATLANTA, GA 30316
Fulton County (404) 243-0929

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 Teresa Jordan's NPI number?

The NPI number for Teresa Jordan is 1780888693. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Teresa Jordan located?

Teresa Jordan practices at 2646 Gresham Rd SE, Atlanta, GA 30316. The listed phone number is (404) 212-9060.

What is Teresa Jordan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Teresa Jordan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Teresa 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 Teresa Jordan was last updated on February 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.