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

Scott Richard Jordan, DMD

Individual provider Dentist · NPI 1639866213

Scott Richard Jordan, DMD is a Dentist in Middleton, Idaho. Practices as a sole proprietor and works from 2 locations. Licensed in Idaho and Utah.

Licensed in
ID, UT
In the registry since
2023
Specialties on file
3
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

201 S Paradise Ave
Middleton, ID 83644-5809
Phone: (208) 585-0048
Fax: (208) 466-5359
Show map & directions

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

Additional practice locations (1)

  • 10237 S Otter Trail Dr, South Jordan, UT 84009-7703 — (208) 960-5953

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D-5558 (ID)
Dentist Taxonomy 122300000X · Licence 13346887-9923 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639866213
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 24, 2023
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

Other providers in Middleton