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Organization

WISDOM TOOTH PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CODY JOHN JORDAN DDS (ORAL SURGEON)
(701) 699-6966
Entity
Organization

Contact information

Practice address
5675 26TH AVE S STE 116, FARGO, ND 58104-8599
(701) 699-6966
(701) 929-5441
Mailing address
5675 26TH AVE S STE 116, FARGO, ND 58104-8599
(701) 699-6966
(701) 929-5441

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
02/23/2026
Last updated
02/23/2026
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