Individual provider · Type 1 NPI

Jordan Dittberner, DDS

General Practice Dentistry · White Bear Lake, MN

NPI number 1174011597 Active

Practice location

4700 White Bear Pkwy
White Bear Lake, MN 55110-3336

Call (651) 762-7677 Map

Mailing address

7504 115th St N
White Bear Lake, MN 55110-6182

Other practice locations

  • 108 Chieftain St., Osceola, WI 54020 · (715) 294-2202

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X1001789 (WI)

General Practice Dentistry: 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.

5 other providers at this address

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About NPI 1174011597

Jordan Dittberner, DDS's National Provider Identifier is 1174011597, issued on May 1, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in White Bear Lake, MN. The record was last updated on May 1, 2018.