Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN DITTBERNER, DDS

Active Sole Proprietor

JORDAN DITTBERNER, DDS is a General Dentistry healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1174011597 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · WHITE BEAR LAKE, MN

Registration Details

NPI Number: 1174011597
Provider Type: Individual
Gender: Male
NPI Issued: May 1, 2018 (8.3021029156562 yrs)
Last Updated: May 1, 2018
License: 1001789 (WI)
Sole Proprietor: Yes

Practice Information

Address: 4700 WHITE BEAR PKWY

WHITE BEAR LAKE, MN, 551103336
Browse MN providers · Browse ZIP 55110
Phone: 6517627677
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in WHITE BEAR LAKE, MN

Name	Credential	NPI
DR. RONALD D FLETCHER	D.D.S.	1679525182
DR. JOY M JOHNSON	D.D.S.	1831138114
DR. CHARLES FRANCIS KAMINSKI JR.	DDS	1073525184
DR. STEPHEN WILLIAM JAKSA	D.D.S	1225146855
DR. BRUCE L NEUBAUER	DDS	1770692386
DR. THOMAS E GRZESKOWIAK	DDS	1053422808

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.