Individual provider · Type 1 NPI
Cody Jordan
Oral and Maxillofacial Surgery (Dentist) · Fargo, ND
NPI number
1043847874
Active
Practice location
5675 26th Ave S Ste 116
Fargo, ND 58104-8599
Fax (701) 929-5441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | S221 (MN) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2518 (ND) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.
Another provider at this address
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- Charles A. Crago, DMD, MDOral and Maxillofacial Surgery (Dentist) Fargo, ND NPI 1629147723
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About NPI 1043847874
Cody Jordan's National Provider Identifier is 1043847874, issued on Mar 23, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fargo, ND. The record was last updated on Jan 27, 2026.