OrganizationActive
Wisdom Tooth PLLC
NPI 1194679704 · Oral and Maxillofacial Surgery (Dentist) · Fargo, ND
Wisdom Tooth PLLC is a Oral and Maxillofacial Surgery (Dentist) organization in Fargo, ND (NPI 1194679704).
Provider details
- NPI number
- 1194679704
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Cody Jordan, Oral Surgeon(701) 699-6966
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
5675 26th Ave S Ste 116
Fargo, ND 58104-8599
Phone: (701) 699-6966
Fax: (701) 929-5441
Street-level locationGet directions
Mailing address
5675 26th Ave S Ste 116
Fargo, ND 58104-8599
Registry dates
- Enumerated
- 2026-02-23
- Last updated
- 2026-02-23
- Certified
- 2026-02-23
Frequently asked questions
- What is Wisdom Tooth PLLC's NPI number?
- Wisdom Tooth PLLC's National Provider Identifier (NPI) is 1194679704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wisdom Tooth PLLC?
- Wisdom Tooth PLLC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Wisdom Tooth PLLC located?
- Wisdom Tooth PLLC's practice location on file with NPPES is 5675 26th Ave S Ste 116, Fargo, ND 58104-8599.
- What is Wisdom Tooth PLLC's phone number?
- The practice phone number listed in the NPPES registry for Wisdom Tooth PLLC is (701) 699-6966.
- Who is the authorized official for Wisdom Tooth PLLC?
- The authorized official listed on Wisdom Tooth PLLC's NPPES record is Cody Jordan, Oral Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wisdom Tooth PLLC's NPI active?
- Yes — Wisdom Tooth PLLC's NPI (1194679704) is active in the NPPES registry as of the last update on 2026-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.