JORDAN GADDIS D.D.S. A PROFESSIONAL DENTAL CORPORATION
NPI 1790263887
Clinic/Center - Dental in Sacramento, CA

Active since August 01, 2018
2835 EASTERN AVE STE 3, SACRAMENTO, CA 95821(916) 486-8558 Get Directions Write a Review

NPPES record last updated: August 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Gaddis D.d.s. A Professional Dental Corporation NPPES

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

JORDAN GADDIS D.D.S. A PROFESSIONAL DENTAL CORPORATION (NPI 1790263887) is a healthcare organization registered as a dental in Sacramento, California and active in the NPI registry since August 2018. The organization lists Jordan Gaddis, Dentist, as its authorized official.

NPPES Registry Identity

NPI1790263887
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJORDAN GADDIS D.D.S. A PROFESSIONAL DENTAL CORPORATION
Location Address2835 EASTERN AVE STE 3Sacramento, CA 95821-5400
Mailing Address2835 Eastern Ave Ste 3Sacramento, CA 95821-5400 · (916) 486-8558
Organization SubpartNo
Authorized OfficialJordan GaddisDentist · (916) 206-6902
Enumeration DateAugust 1, 2018
NPI 1790263887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in CA · 101617
2835 EASTERN AVE STE 3, Sacramento, CA 95821

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 Jordan Gaddis D.D.S. A Professional Dental Corporation's NPI number?

The NPI number for Jordan Gaddis D.D.S. A Professional Dental Corporation is 1790263887. It was assigned to this organization in the NPPES registry on August 1, 2018.

Where is Jordan Gaddis D.D.S. A Professional Dental Corporation located?

Jordan Gaddis D.D.S. A Professional Dental Corporation is located at 2835 Eastern Ave Ste 3, Sacramento, CA 95821. The listed phone number is (916) 486-8558.

What is Jordan Gaddis D.D.S. A Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Jordan Gaddis D.D.S. A Professional Dental Corporation was last updated on August 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.