Jordan Myungdo Walle is a Klamath Falls, Oregon based Dentist who is specialized in Dentist. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jordan Myungdo Walle is D11718 for Dental Public Health in Oregon. His current practice location is 2074 S 6th St, Klamath Falls. Patients can reach him at 541-851-8110.
Jordan Myungdo Walle is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jordan Myungdo Walle speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jordan Myungdo Walle
Specialization:
Dentist
Gender:
Male
Accepts Medicare Assignment:
No
Practice Address:
2074 S 6th St, Klamath Falls, Oregon, 97601-3372
Phone:
541-851-8110
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1780330282
NPI Enumeration Date:
23 Feb, 2022
NPI Last Update On:
30 Jul, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jordan Myungdo Walle are as mentioned below.
License Number
Specialization
State
Status
D11718
Dental Public Health
Oregon
Primary
Student in an Organized Health Care Education/Training Program
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jordan Myungdo Walle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500822026
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2074 S 6th St, Klamath Falls, Oregon
Zip:
97601-3372
Phone Number:
541-851-8110
Patients can reach Jordan Myungdo Walle at 2074 S 6th St, Klamath Falls, Oregon or can call to book an appointment on 541-851-8110. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.