IndividualActive
Jordan Wong
NPI 1124572490 · Dentist · Waseca, MN
Jordan Wong is a Dentist provider in Waseca, MN (NPI 1124572490).
Provider details
- NPI number
- 1124572490
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- D13744 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 Sw University Dr
Waseca, MN 56093
Phone: (507) 835-8972
Approximate (ZIP-level) locationGet directions
Mailing address
175 18th St Sw Unit 211
Owatonna, MN 55060-1157
Registry dates
- Enumerated
- 2016-08-04
- Last updated
- 2020-10-16
- Certified
- 2020-10-14
Frequently asked questions
- What is Jordan Wong's NPI number?
- Jordan Wong's National Provider Identifier (NPI) is 1124572490, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Wong's specialty?
- Jordan Wong is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jordan Wong located?
- Jordan Wong's practice location on file with NPPES is 1000 Sw University Dr, Waseca, MN 56093.
- What is Jordan Wong's phone number?
- The practice phone number listed in the NPPES registry for Jordan Wong is (507) 835-8972.
- Is Jordan Wong's NPI active?
- Yes — Jordan Wong's NPI (1124572490) is active in the NPPES registry as of the last update on 2020-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.