DR. Jacob Jordan, DDS
NPI #1528745197 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1528745197
- Entity Type
- Individual
- Name
- DR. Jacob Jordan, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jul 5, 2023
- Last Updated
- Jul 5, 2023
Practice Location
- Address
- 6936 PINE ARBOR DR S STE 210
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016-4672
- Phone
- (651) 769-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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