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

Mr. Jordan Kane Elliott, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093569550

Mr. Jordan Kane Elliott, DMD is a Student in an Organized Health Care Education/Training Program in Ipswich, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2024.

Licensed in
MA
In the registry since
2024
Specialties on file
2
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

146 High St Unit 1
Ipswich, MA 01938-1212
Phone: (978) 276-9990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN10000243 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MA)

Record details

NPI number1093569550
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 12, 2024
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024

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