Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John R Jordan DDS PA

Organization General Practice Dentistry · NPI 1609008051

John R Jordan DDS PA is a General Practice Dentistry in Detroit Lakes, Minnesota. Licensed in Minnesota. Registered with an NPI since 2009.

Licensed in
MN
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1106 W River Rd
Detroit Lakes, MN 56501-2723
Phone: (218) 846-1900
Fax: (218) 847-5079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D10689 (MN)
General Practice Dentistry Taxonomy 1223G0001X · Licence D12441 (MN)

Record details

NPI number1609008051
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Jordan — Owner · (218) 846-1900
Other names West River Dental
NPI enumeratedAugust 19, 2009
Last updated in NPPESAugust 19, 2009
Mailing address1106 W River Rd, Detroit Lakes, MN 56501-2723

Other providers in Detroit Lakes