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WISDOM TOOTH PLLC
NPI 1194679704
Dentist - Oral and Maxillofacial Surgery in Fargo, ND

Active since February 23, 2026
5675 26TH AVE S STE 116, FARGO, ND 58104(701) 699-6966(701) 929-5441 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wisdom Tooth Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WISDOM TOOTH PLLC (NPI 1194679704) is a healthcare organization registered as an oral and maxillofacial surgery in Fargo, North Dakota and active in the NPI registry since February 2026. The organization lists Cody John Jordan, Oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1194679704
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameWISDOM TOOTH PLLC
Location Address5675 26TH AVE S STE 116Fargo, ND 58104-8599
Mailing Address5675 26th Ave S Ste 116Fargo, ND 58104-8599 · (701) 699-6966 · Fax (701) 929-5441
Phone(701) 699-6966
Fax(701) 929-5441
Organization SubpartNo
Authorized OfficialCody John JordanOral Surgeon · (701) 699-6966
Enumeration DateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1194679704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
5675 26TH AVE S STE 116, Fargo, ND 58104
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CODY JORDAN
Dentist (Oral and Maxillofacial Surgery)
5675 26TH AVE S STE 116
FARGO, ND 58104
Cass County (701) 699-6966

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wisdom Tooth PLLC's NPI number?

The NPI number for Wisdom Tooth PLLC is 1194679704. It was assigned to this organization in the NPPES registry on February 23, 2026.

Where is Wisdom Tooth PLLC located?

Wisdom Tooth PLLC is located at 5675 26th Ave S Ste 116, Fargo, ND 58104. The listed phone number is (701) 699-6966.

What is Wisdom Tooth PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Wisdom Tooth PLLC was last updated on February 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.