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Jordan Dittberner, DDS
General Practice Dentistry in White Bear Lake, Minnesota
NPI 1174011597

Jordan Dittberner is a General Practice Dentistry based in White Bear Lake, MN and is specialized in General Practice. Jordan Dittberner practices in White Bear Lake, MN and has the professional credentials of DDS. The NPI Number for Jordan Dittberner is 1174011597 and holds a License No. 1001789 (Minnesota).

The current practice location address for Jordan Dittberner is 4700 White Bear Pkwy, White Bear Lake, MN and can be reached out via phone at 651-762-7677.

Location: 4700 White Bear Pkwy, White Bear Lake, MN, 55110-6182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174011597
Provider Name
Jordan Dittberner
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4700 White Bear Pkwy, White Bear Lake, MN, 55110-6182
Phone Number
651-762-7677
Fax Number
Provider Enumeration Date
05/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4700 White Bear Pkwy
City
White Bear Lake
State
Minnesota
Zip
55110-3336
Phone Number
651-762-7677
Fax Number
person
Provider Business Mailing Address Details
Address
4700 White Bear Pkwy
City
White Bear Lake
State
Minnesota
Zip
55110-3336
Phone Number
651-762-7677
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1001789 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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