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

Jordan Jon Annis

Individual provider Dentist · NPI 1548873292

Jordan Jon Annis is a Dentist in Elm Grove, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020

Practice location Address checks out

15255 Watertown Plank Rd Ste 100
Elm Grove, WI 53122-2338
Phone: (262) 784-7770
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1002421-15 (WI)

Record details

NPI number1548873292
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 24, 2020
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing address15255 Watertown Plank Rd Ste 100, Elm Grove, WI 53122-2338

Other providers in Elm Grove