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

Ebony Jordan, DDS

Individual provider Pediatric Dentistry · NPI 1891009346

Ebony Jordan, DDS is a Pediatric Dentistry in South Pasadena, California. Licensed in California and Indiana. Registered with an NPI since 2010.

Licensed in
CA, IN
In the registry since
2010
Specialties on file
3
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

1427 Mission St
South Pasadena, CA 91030-3213
Phone: (626) 403-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DDS103462 (CA)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 12012022A (IN)
Dentist Taxonomy 122300000X · Licence 12012022A (IN)

Record details

NPI number1891009346
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 27, 2010
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024
Mailing address1427 Mission St, South Pasadena, CA 91030-3213

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