Jay C Jorgenson DDS PA
Dentist in Park Rapids, MN. Organization (NPI-2).
NPI number1891966479
StatusActive
Last updated in NPPESMar 21, 2008
Details
- NPI
- 1891966479
- Entity type
- Organization (NPI-2)
- Legal business name
- Jay C Jorgenson DDS PA
- Organization subpart
- No
- Enumeration date
- Mar 21, 2008
- Last updated
- Mar 21, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 10984 | MN | Yes |
Practice location
406 Pleasant AvePark Rapids, MN 56470
Phone 218-237-7200
Mailing address
406 Pleasant AvePark Rapids, MN 56470
Phone 218-237-7200 · Fax 218-237-7201
Authorized official
Jay Christopher Jorgenson
Doctor
2182377200
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