NPI age
6 years
Enumerated 2019-09-05
● Active
Type 1 · Individual
DR. Charles Jordan, DMD
Jordan is 1 of 14 dentist providers in Statesboro and 1 of 2660 in Georgia.
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-11-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2660 active dentist providers in Georgia.
NPI age
6 years
↓ 8 yr below median (14 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-09Enumerated in NPPES
2019
2026
Where they practice
Practice location
412 Northside Dr E
Statesboro, GA 304584802
Mailing address
1713 Green Acres Dr
Vidalia, GA 304748531
Additional practice locations
1 secondary location on file with NPPES.
Location 2
401 Durden St
Vidalia, GA 304744600
Specialties
-
Dentist PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 053162016 | DRIVERS LICENSE |
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new dentist provider has been added in Statesboro in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.