Organization
NATHAN C. JORGENSON, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN CRAIG JORGENSON DDS (OWNER)
(507) 235-9632
Entity
Organization
Contact information
Practice address
717 S STATE ST STE 600, FAIRMONT, MN 56031-4475
(507) 235-9632
(507) 235-5006
Mailing address
717 S STATE ST STE 600, FAIRMONT, MN 56031-4475
(507) 235-9632
(507) 235-5006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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