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

Dr. Jordan Gaddis

Individual provider Dentist · NPI 1902329873

Dr. Jordan Gaddis is a Dentist in Sacramento, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

591 Watt Ave Ste 100
Sacramento, CA 95864-5027
Phone: (916) 481-5057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 101617 (CA)
Dentist Taxonomy 122300000X · Licence 101617 (CA)

Record details

NPI number1902329873
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 21, 2017
Last updated in NPPESJuly 21, 2017

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