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

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1194679704

Wisdom Tooth PLLC is an Oral and Maxillofacial Surgery (Dentist) in Fargo, North Dakota. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5675 26th Ave S Ste 116
Fargo, ND 58104-8599
Phone: (701) 699-6966
Fax: (701) 929-5441
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Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1194679704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cody Jordan — Oral Surgeon · (701) 699-6966
NPI enumeratedFebruary 23, 2026
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address5675 26th Ave S Ste 116, Fargo, ND 58104-8599

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