Wisdom Tooth PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

WISDOM TOOTH PLLC

Practice address

5675 26TH Ave S Ste 116
Fargo, ND 58104-8599

Phone

(701) 699-6966

Fax

(701) 929-5441

NPI assigned

Feb 23, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cody John Jordan, DDSNPI 1043847874

Title

Oral Surgeon

Phone

(701) 699-6966

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cody Jordan

  • Oral and Maxillofacial Surgery (Dentist)
  • Fargo, ND
  • NPI 1043847874
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1194679704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 26TH AVE S STE 116",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048599",
            "telephone_number": "701-699-6966",
            "fax_number": "701-929-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 26TH AVE S STE 116",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048599",
            "telephone_number": "701-699-6966",
            "fax_number": "701-929-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM TOOTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "701-699-6966",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Winter
• Mary Winter
• Sarah Winter, PA-C
• Randi Wippler, RN
• Paige Upham Wischer, NP
• Cody Douglas Wise, PHARMD
• Ryan Wisecarver
• Wisteria Home Care
• Amanda R Witlock
• Brenda M Witt, MSW

• Oral and Maxillofacial Surgery (Dentist) in Fargo, ND
• Providers in Fargo, ND by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.