DR. Cody Grant Jorgenson, DDS

NPI #1174185854 in Slinger, Wisconsin

Provider Information

NPI Number: 1174185854
Entity Type: Individual
Name: DR. Cody Grant Jorgenson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 2, 2019
Last Updated: Sep 5, 2023

Practice Location

Address: 340 E WASHINGTON ST
City: Slinger
State: Wisconsin
ZIP Code: 53086-9587
Phone: (262) 644-6921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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