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Deactivated NPI 1750501797 Deactivated / Inactive NPI Male Practitioner

Dr. Eugene James Jordan , DDS

Dentist • Cleveland, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Eugene Jordan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 30, 2007
NPI Deactivation Date October 15, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Jordan, DDS was a registered Dentist practicing in Cleveland, OH. Throughout an active medical career spanning 13 years, Dr. Jordan provided care at the practice location at 18013 EUCLID AVE until profile deactivation on 2020-10-15.

Practice Location & Contact Primary Location

Practice Address

18013 Euclid Ave

Cleveland, OH 441121105

Telephone 2164518500
Fax 2165414058

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Cleveland, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.8 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
193 Specialists

Practicing in Cleveland, OH (2953 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OH 013612

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 15, 2020

Record deactivated on October 15, 2020

NPI Profile Active October 28, 2016

NPI status registered as active in NPPES database

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Updated Practice Location October 28, 2016

Registered at 18013 EUCLID AVE, CLEVELAND, OH 441121105 (Tel: 2164518500)

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Updated Business Mailing Address October 28, 2016

Registered at 18013 EUCLID AVE, CLEVELAND, OH 441121105 (Tel: 2164518500)

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Provider Name / Credentials Updated October 28, 2016

Recorded as EUGENE JORDAN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2016

Dentist (License #013612 in OH)

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Initial NPI Registration & Enumeration April 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750501797
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2007
Last Update: October 28, 2016
Deactivation Date: October 15, 2020

Mailing Address

18013 Euclid Ave

Cleveland, OH 441121105

Phone: 2164518500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.