Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN WONG
Active Sole ProprietorJORDAN WONG is a Dentist healthcare provider located in WASECA, Minnesota. NPI 1124572490 is currently active in the NPPES registry. Verify at CMS.
Dentist · WASECA, MN
Registration Details
- NPI Number
- 1124572490
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2016 (10.0169692454 yrs)
- Last Updated
- Oct 16, 2020
- License
-
D13744 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 SW UNIVERSITY DRWASECA, MN, 56093Browse MN providers · Browse ZIP 56093
- Phone
- 5078358972
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in WASECA, MN
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY JON FLOR | D.D.S. | 1144264938 |
| DR. ANDREW DAVID BACKES | D.D.S. | 1780021089 |
| BRETT DAVID WICKERSHEIM | D.D.S. | 1841979200 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.