JORDAN FAMILY DENTAL PLLC
NPI 1255024295
Dentist - General Practice in Jordan, MN

Q: What is Jordan Family Dental PLLC's NPI number?

The NPI number for Jordan Family Dental PLLC is 1255024295. It was assigned to this organization in the NPPES registry on May 26, 2023.

Q: What is Jordan Family Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since May 26, 2023

301 EL DORADO DRIVE, JORDAN, MN 55352(952) 492-2021(952) 492-6505 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2026, Apr 2, 2026, May 26, 2023 (3 updates tracked since 2023).

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About Jordan Family Dental Pllc NPPES

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

JORDAN FAMILY DENTAL PLLC (NPI 1255024295) is a healthcare organization registered as a general practice in Jordan, Minnesota and active in the NPI registry since May 2023. The organization lists Katie Marie Ferraz-souza, Dentist / Owner, as its authorized official.

NPPES Registry Identity

NPI1255024295

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameJORDAN FAMILY DENTAL PLLC

Location Address301 EL DORADO DRIVEJordan, MN 55352

Mailing Address301 El Dorado DriveJordan, MN 55352 · (952) 492-2021 · Fax (952) 492-6505

Phone(952) 492-2021

Fax(952) 492-6505

Organization SubpartNo

Authorized OfficialKatie Marie Ferraz-souzaDentist / Owner · (952) 492-2021

Enumeration DateMay 26, 2023

Last NPPES UpdateApril 10, 20263 updates tracked since enumeration

NPPES CertifiedApril 10, 2026

✔ NPI 1255024295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X

301 EL DORADO DRIVE, Jordan, MN 55352

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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 Jordan Family Dental PLLC's NPI number?

The NPI number for Jordan Family Dental PLLC is 1255024295. It was assigned to this organization in the NPPES registry on May 26, 2023.

Where is Jordan Family Dental PLLC located?

Jordan Family Dental PLLC is located at 301 El Dorado Drive, Jordan, MN 55352. The listed phone number is (952) 492-2021.

What is Jordan Family Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jordan Family Dental PLLC was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.