John R Jordan DDS PA
NPI 1609008051 · General Practice Dentistry · Detroit Lakes, MN
John R Jordan DDS PA is a General Practice Dentistry organization in Detroit Lakes, MN (NPI 1609008051).
Provider details
- NPI number
- 1609008051
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- John Jordan, Owner(218) 846-1900
- License
- D12441 (MN)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Other names (DBA / former)
- Other name
- West River Dental
Registry dates
- Enumerated
- 2009-08-19
- Last updated
- 2009-08-19
Frequently asked questions
- What is John R Jordan DDS PA's NPI number?
- John R Jordan DDS PA's National Provider Identifier (NPI) is 1609008051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is John R Jordan DDS PA?
- John R Jordan DDS PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is John R Jordan DDS PA located?
- John R Jordan DDS PA's practice location on file with NPPES is 1106 W River Rd, Detroit Lakes, MN 56501-2723.
- What is John R Jordan DDS PA's phone number?
- The practice phone number listed in the NPPES registry for John R Jordan DDS PA is (218) 846-1900.
- Who is the authorized official for John R Jordan DDS PA?
- The authorized official listed on John R Jordan DDS PA's NPPES record is John Jordan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is John R Jordan DDS PA's NPI active?
- Yes — John R Jordan DDS PA's NPI (1609008051) is active in the NPPES registry as of the last update on 2009-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.