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

Jordan Dittberner, DDS

Individual provider General Practice Dentistry · NPI 1174011597

Jordan Dittberner, DDS is a General Practice Dentistry in White Bear Lake, Minnesota. Practices as a sole proprietor and works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2018
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.

See every abbreviation used in this directory →

Practice location Address checks out

4700 White Bear Pkwy
White Bear Lake, MN 55110-3336
Phone: (651) 762-7677
Show map & directions

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

Additional practice locations (1)

  • 108 Chieftain St., Osceola, WI 54020 — (715) 294-2202

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 1001789 (WI)

Record details

NPI number1174011597
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 1, 2018
Last updated in NPPESMay 1, 2018
Mailing address7504 115th St N, White Bear Lake, MN 55110-6182

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