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

Jordan Wong

Individual provider Dentist · NPI 1124572490

Jordan Wong is a Dentist in Waseca, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2016
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Practice location Address checks out

1000 SW University Dr
Waseca, MN 56093
Phone: (507) 835-8972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D13744 (MN)

Record details

NPI number1124572490
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 4, 2016
Last updated in NPPESOctober 16, 2020
Certification dateOctober 14, 2020
Mailing address175 18th St Sw Unit 211, Owatonna, MN 55060-1157

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