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Jordan Dittberner, DDS

General Practice Dentistry in White Bear Lake, MN · enumerated 2018 · practices at Isaacson Gentle Dentistry.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174011597

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Registry record

Entity type Individual (Type 1)
Name Jordan Dittberner
Credential DDS
Sex Male
Practice address White Bear Lake, MN, 55110
Phone (651) 762-7677
Enumeration date May 1, 2018
Last updated in NPPES May 1, 2018

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License 1001789 (WI) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jordan Dittberner practice?
The practice location on file with NPPES is in White Bear Lake, MN. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jordan Dittberner?
The National Provider Identifier (NPI) for Jordan Dittberner is 1174011597, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-05-01.