IndividualActive
Jordan Wong
NPI 1124572490 · Dentist · Waseca, MN
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(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.