Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jordan Alan Bolles, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477841476

Dr. Jordan Alan Bolles, DDS is a Student in an Organized Health Care Education/Training Program in Yakima, Washington. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1020 S 40th Ave Ste F
Yakima, WA 98908-3800
Phone: (509) 965-7668
Fax: (509) 965-7520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1477841476
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 12, 2011
Last updated in NPPESOctober 7, 2013

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