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Jordan Pellegrom, D.D.S.
NPI 1639806326 · Pediatric Dentistry · Sartell, MN
Jordan Pellegrom, D.D.S. is a Pediatric Dentistry provider in Sartell, MN (NPI 1639806326).
Provider details
- NPI number
- 1639806326
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- D14853 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
140 Twin Rivers Ct
Sartell, MN 56377-2015
Phone: (320) 257-3380
Street-level locationGet directions
Mailing address
11757 E 25th Ave Unit 7208
Aurora, CO 80010-1297
Registry dates
- Enumerated
- 2022-08-03
- Last updated
- 2023-09-05
- Certified
- 2023-09-05
Frequently asked questions
- What is Jordan Pellegrom's NPI number?
- Jordan Pellegrom's National Provider Identifier (NPI) is 1639806326, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Pellegrom's specialty?
- Jordan Pellegrom is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Jordan Pellegrom located?
- Jordan Pellegrom's practice location on file with NPPES is 140 Twin Rivers Ct, Sartell, MN 56377-2015.
- What is Jordan Pellegrom's phone number?
- The practice phone number listed in the NPPES registry for Jordan Pellegrom is (320) 257-3380.
- Is Jordan Pellegrom's NPI active?
- Yes — Jordan Pellegrom's NPI (1639806326) is active in the NPPES registry as of the last update on 2023-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.