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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417513730

Dr. Jordan Alexander Reznik, DMD is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2019
Specialties on file
3
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

236 Perimeter Center Pkwy NE Ste C-30
Atlanta, GA 30346-1402
Phone: (404) 625-3009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Augusta University The Dental College Of Georgia, Augusta, GA 30912-0001 — (706) 721-2251

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D015858 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence DN015858 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417513730
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 13, 2019
Last updated in NPPESAugust 30, 2020
Certification dateAugust 30, 2020

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