Search › Minnesota › 1223P0221X
Jordan Pellegrom, D.D.S
NPI 1639806326 · on the registry since 2022
Practice
- Address
- 140 Twin Rivers Ct
Sartell, MN 56377 - Phone
- (320) 257-3380
- Organisation at this address
- Dentistry For Children, P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-05
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