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

Cody Jordan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043847874

Cody Jordan is a Student in an Organized Health Care Education/Training Program in Fargo, North Dakota. Licensed in Minnesota and North Dakota. Registered with an NPI since 2020.

Licensed in
MN, ND
In the registry since
2020
Specialties on file
3

Practice location Address checks out

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

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence S221 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 2518 (ND)

Record details

NPI number1043847874
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2020
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026
Mailing address5675 26th Ave S Ste 116, Fargo, ND 58104-8599

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