Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles Jordan, DMD

Individual provider Dentist · NPI 1518516392

Dr. Charles Jordan, DMD is a Dentist in Statesboro, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2019
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

412 Northside Dr E
Statesboro, GA 30458-4802
Phone: (912) 225-0777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 Durden St, Vidalia, GA 30474-4600 — (912) 537-7211

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN015930 (GA)

Record details

NPI number1518516392
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 5, 2019
Last updated in NPPESNovember 12, 2019
Mailing address1713 Green Acres Dr, Vidalia, GA 30474-8531

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