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WEST RIVER DENTAL
NPI 1609008051
Dentist - General Practice in Detroit Lakes, MN

Active since August 19, 2009
1106 W RIVER RD, DETROIT LAKES, MN 56501(218) 846-1900(218) 847-5079 Get Directions Write a Review

NPPES record last updated: August 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About West River Dental NPPES

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

WEST RIVER DENTAL (NPI 1609008051) is a healthcare organization registered as a general practice in Detroit Lakes, Minnesota and active in the NPI registry since August 2009. The organization lists John R Jordan, Owner, as its authorized official.

NPPES Registry Identity

NPI1609008051
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJOHN R JORDAN DDS PA
Location Address1106 W RIVER RDDetroit Lakes, MN 56501-2723
Mailing Address1106 W River RdDetroit Lakes, MN 56501-2723 · (218) 846-1900 · Fax (218) 847-5079
Phone(218) 846-1900
Fax(218) 847-5079
Organization SubpartNo
Authorized OfficialJohn R JordanOwner · (218) 846-1900
Enumeration DateAugust 19, 2009
✔ NPI 1609008051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MN · D10689✔ Licensed in MN · D12441
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.
1106 W RIVER RD, Detroit Lakes, MN 56501
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Other Names 1

Other NameWest River Dental

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

BENJAMIN R BUNTROCK DMD
Dentist
1106 W RIVER RD
DETROIT LAKES, MN 56501
Becker County (218) 846-1900
BRIAN LABAT DDS
Dentist (General Practice)
1106 W RIVER RD
DETROIT LAKES, MN 56501
Becker County (218) 846-1900
DR. JOHN ROSS JORDAN D.D.S.
Dentist (General Practice)
1106 W RIVER RD
DETROIT LAKES, MN 56501
Becker County (218) 846-1900
DR. RYAN LINCOLN RITCHIE D.D.S
Dentist
1106 W RIVER RD
DETROIT LAKES, MN 56501
Becker County (218) 846-1900
DR. HALLE JORDAN DDS
Dentist (General Practice)
1106 W RIVER RD
DETROIT LAKES, MN 56501
Becker County (218) 846-1900

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 John R Jordan Dds PA's NPI number?

The NPI number for John R Jordan Dds PA is 1609008051. It was assigned to this organization in the NPPES registry on August 19, 2009. The provider is also known as West River Dental.

Where is John R Jordan Dds PA located?

John R Jordan Dds PA is located at 1106 W River Rd, Detroit Lakes, MN 56501. The listed phone number is (218) 846-1900.

What is John R Jordan Dds PA'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 John R Jordan Dds PA was last updated on August 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.