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

Dr. Roderick Quennel Jordan Jr., DMD

Individual provider General Practice Dentistry · NPI 1588453484

Dr. Roderick Quennel Jordan Jr., DMD is a General Practice Dentistry in Maryland Heights, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2025
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

40 Weldon Pkwy
Maryland Heights, MO 63043-3202
Phone: (314) 254-4000
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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 2025024688 (MO)

Record details

NPI number1588453484
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 6, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

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