Individual provider · Type 1 NPI

Jordan Pellegrom, DDS

Pediatric Dentistry · Sartell, MN

NPI number 1639806326 Active

Practice location

140 Twin Rivers Ct
Sartell, MN 56377-2015

Call (320) 257-3380 Map

Mailing address

11757 E 25th Ave Unit 7208
Aurora, CO 80010-1297

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XD14853 (MN)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

7 other providers at this address

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About NPI 1639806326

Jordan Pellegrom, DDS's National Provider Identifier is 1639806326, issued on Aug 3, 2022. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Sartell, MN. The record was last updated on Sep 5, 2023.