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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083073522

Jordan Endres, DDS is a Student in an Organized Health Care Education/Training Program in Roseburg, Oregon. Practices as a sole proprietor. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2016
Specialties on file
2
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

150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042
Phone: (541) 672-9596
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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 D10432 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence RR60578878 (WA)

Record details

NPI number1083073522
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 12, 2016
Last updated in NPPESApril 10, 2023
Certification dateApril 10, 2023
Mailing address1116 Se Terrace Dr, Roseburg, OR 97470-4360

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