Jordan Gretz, LADC

NPI 1972199404 · on the registry since 2020

Practice

Address: 201 N Broad St Ste 200
Mankato, MN 56001
Phone: (507) 225-1500
Fax: (507) 225-1501
Organisation at this address: Skinner Family Dentistry, Pc
Minnesota River Area Agency On Aging, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 51

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-08-06

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