Dr. Jordan Dietrich is a Waupaca, Wisconsin based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jordan Dietrich is 6001224-15 for General Practice Dentistry in Wisconsin. His current practice location is 825 W Fulton St, Waupaca. Patients can reach him at 920-731-7445.
Dr. Jordan Dietrich is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jordan Dietrich speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Jordan Dietrich
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
825 W Fulton St, Waupaca, Wisconsin, 54981-1471
Phone:
920-731-7445
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1902582604
NPI Enumeration Date:
26 Jun, 2023
NPI Last Update On:
26 Jun, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jordan Dietrich are as mentioned below.
License Number
Specialization
State
Status
6001224-15
General Practice Dentistry
Wisconsin
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4818 Wood Duck Way, West Bend, Wisconsin
Zip:
53095-9196
Phone Number:
920-639-9529
Patients can reach Dr. Jordan Dietrich at 825 W Fulton St, Waupaca, Wisconsin or can call to book an appointment on 920-731-7445. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.