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

Jordan Berry

Individual provider Dental Hygienist · NPI 1891145975

Jordan Berry is a Dental Hygienist in Macon, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2016
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Practice location Address checks out

209 N Missouri St
Macon, MO 63552-2151
Phone: (660) 395-5045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 2015016912 (MO)

Record details

NPI number1891145975
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 20, 2016
Last updated in NPPESJune 20, 2016

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