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

Dr. Jacob Jordan, DDS

Individual provider Dentist · NPI 1528745197

Dr. Jacob Jordan, DDS is a Dentist in Cottage Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

6936 Pine Arbor Dr S Ste 210
Cottage Grove, MN 55016-4672
Phone: (651) 769-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D14958 (MN)

Record details

NPI number1528745197
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 5, 2023
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023
Mailing address965 Iowa Ave W, Saint Paul, MN 55117-3358

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