Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124572490 Individual Practitioner Male Practitioner

Jordan Wong

Dentist • Waseca, MN

Professional Overview & Biography Verified Profile Summary

Jordan Wong is a registered healthcare professional specializing in Dentist in Waseca, MN. Practice services are available at 1000 SW UNIVERSITY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1000 Sw University Dr

Waseca, MN 56093

Telephone 5078358972
Associated Practice Facility / Clinic
🏢 Fci Waseca Facility NPI 1871164608

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Waseca, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Waseca, MN (1863 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-14
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN D13744

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. James Dey , MD

Family Medicine

NPI 1467636027

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 16, 2020

Registered at 1000 SW UNIVERSITY DR, WASECA, MN 56093 (Tel: 5078358972)

📍
Updated Business Mailing Address October 16, 2020

Registered at 175 18TH ST SW UNIT 211, OWATONNA, MN 550601157

📍
Updated Practice Location June 07, 2019

Registered at 331 SIJEN AVE, WHITEMAN AIR FORCE BASE, MO 653051269 (Tel: 6606872108)

📍
Updated Practice Location April 16, 2018

Registered at 51 MDG, UNIT 2060, APO, AP 962782060 (Tel: 9524654589)

📍
Updated Business Mailing Address April 16, 2018

Registered at UNIT 2067 BOX 795, APO, AP 962782067

NPI Profile Active August 04, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2016

Registered at 1067 TWINING DR, BARKSDALE AFB, LA 711102486 (Tel: 3184566718)

📍
Updated Business Mailing Address August 04, 2016

Registered at 110 GRAYSON CIR, BOSSIER CITY, LA 711128605 (Tel: 9524654589)

👤
Provider Name / Credentials Updated August 04, 2016

Recorded as JORDAN WONG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2016

Dentist (License #D13744 in MN)

🟢
Initial NPI Registration & Enumeration August 04, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124572490
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2016
Last Update: October 16, 2020
Sole Proprietor: Yes

Mailing Address

175 18th St Sw Unit 211

Owatonna, MN 550601157

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.