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DR. JORDAN TYLER JOHNSON DDS
NPI 1932723715
Dentist - Endodontics in Clyde, NC

Active since June 08, 2020
59 HAYWOOD PARK DR, CLYDE, NC 28721(828) 627-1999(828) 627-1998 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2024, Nov 15, 2022, Jun 8, 2020 (3 updates tracked since 2020).

About Dr. Jordan Tyler Johnson Dds NPPES

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

DR. JORDAN TYLER JOHNSON DDS (NPI 1932723715) is an individual endodontics provider in Clyde, North Carolina, licensed in North Carolina (13039) and active in the NPI registry since June 2020. He maintains a secondary practice location in Hendersonville.

NPPES Registry Identity

NPI1932723715
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. JORDAN TYLER JOHNSONCredential: DDS
Location Address59 HAYWOOD PARK DRClyde, NC 28721-4404
Mailing Address59 Haywood Park DrClyde, NC 28721-4404 · (828) 627-1999 · Fax (828) 627-1998
Phone(828) 627-1999
Fax(828) 627-1998
Sole ProprietorNo
Enumeration DateJune 8, 2020
Last NPPES UpdateAugust 12, 20243 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1932723715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in NC · 13039
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
59 HAYWOOD PARK DR, Clyde, NC 28721
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Secondary Practice Location 1

Location 11216 6th Ave W Unit BHendersonville, NC 28739-3301 · Phone (828) 693-7600

Other Providers at the Same Location NPPES

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

DR. SHAWN ROBERT KENNEDY DDS
Dentist (Endodontics)
59 HAYWOOD PARK DR
CLYDE, NC 28721
Haywood County (828) 627-1999

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 Johnson's NPI number?

The NPI number for Jordan Johnson is 1932723715. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Where is Jordan Johnson located?

Jordan Johnson practices at 59 Haywood Park Dr, Clyde, NC 28721. The listed phone number is (828) 627-1999.

What is Jordan Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Jordan Johnson was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.