Individual ProviderJordan SeetnerStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1 Kneeland St, Tufts School Of Dental Medicine, Dep Of Orthodontics, Boston, MA 02111(610) 324-1001PECOS EnrollmentBased on the most recent information from CMS, provider Jordan Seetner does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1740660661Provider TypeIndividualFull NameSeetner, JordanTitleDr.CredentialDMDGenderMaleSole ProprietorYesEnumeration Date6/5/2015Last Updated6/5/2015Contact InformationPractice LocationPractice Address1 Kneeland St, Tufts School Of Dental Medicine, Dep Of Orthodontics, Boston, MA 02111Phone(610) 324-1001FaxUnlisted FaxMailing LocationMailing Address76 W Cedar St, Apt 5r, Boston, MA 02114-3326Phone(610) 324-1001FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer