Search › Minnesota › 1223G0001X
Jordan Dittberner, DDS
NPI 1174011597 · on the registry since 2018 · sole proprietor
Practice
- Address
- 4700 White Bear Pkwy
White Bear Lake, MN 55110 - Phone
- (651) 762-7677
- Organisation at this address
- Isaacson Gentle Dentistry
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 108 Chieftain St., Osceola, WI
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota