Jay C Jorgenson DDS PA
Organization Active NPI Dentist · Park Rapids, MN
NPI 1891966479 · NPPES record last updated Mar 21, 2008
Key facts
- NPI
- 1891966479
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 10984 (MN)
- Legal business name
- JAY C JORGENSON DDS PA
- Practice address
- 406 Pleasant Ave
Park Rapids, MN 56470 - Phone
- (218) 237-7200
- NPI assigned
- Mar 21, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Jay Christopher Jorgenson, DDS
- Title
- Doctor
- Phone
- (218) 237-7200
Practitioners 2
-
Jay Christopher Jorgenson, DDS, PA
National Provider Directory
Locations
406 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 237-7200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 10984 | MN | Yes |
Addresses
Primary practice location
406 Pleasant Ave
Park Rapids, MN 56470
Mailing address
406 Pleasant Ave
Park Rapids, MN 56470
Phone (218) 237-7200
Other providers in Park Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.