DR. JORDAN JEFFREY BOLGER (NPI# 1154931988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154931988 |
| Entity Type | Individual |
| Full Name | DR. JORDAN JEFFREY BOLGER |
| Credential | DDS |
| Practice Address |
13899 Highway 15 S Frontage Rd Savage MN 55378-5537 |
| Mailing Address |
1101 Main St Ne Unit 409 Minneapolis MN 55413-1489 |
| Practice Telephone | 9524402292 |
| Mailing Telephone | 9522889220 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D14459 | MN | Dental Providers |
| Street Address |
13899 HIGHWAY 15 S FRONTAGE RD |
| City | SAVAGE |
| State | MN |
| Zip Code | 55378-5537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083271662 | Nlm Investment Group LLC | Home Health | 7460 South Park Drive, Savage, MN 55378 | 2019-05-20 |
| 1558835942 | Jennifer Iacobelli | Dental Therapist | 13899 Highway 13 South Frontage Road, Savage, MN 55378 | 2019-01-18 |
| 1992288781 | Katie Ask | Dental Therapist | 13889 Highway 13 S, Frontage Rd, Savage, MN 55378 | 2018-09-08 |
| 1619456084 | Abdifatah Yusuf Warsame | Driver | 14023 Virginia Ave, Savage, MN 55378 | 2018-08-07 |
| 1023502580 | Cathleen J. Gempeler | Music Therapist | 4011 West Highway 13, This Address Is My Music Therapy Center, Savage, MN 55378 | 2018-06-19 |
| 1750870515 | Jamie C. Lang | Registered Nurse | 14362 Utica Ave., Savage, MN 55378 | 2018-05-08 |
| 1932643756 | Touching Lives Communities, LLC | Assisted Living Facility | 14280 Allen Drive, Savage, MN 55378 | 2016-12-13 |
| 1194267344 | Dentists of Savage, PC | Dentist | 14012 Hwy 13, Savage, MN 55378 | 2016-11-04 |
| 1518350719 | Corey Thompson | Counselor | 7675 Mn Hwy 13, Savage, MN 55378 | 2015-03-12 |
| 1679963235 | Melissa Jaeger | Dietitian, Registered | 6150 Egan Drive, Savage, MN 55378 | 2015-02-03 |
| Find all providers in zip 55378 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467509851 | Cherrywood Dental Care Pa | Dentist | 14127 Vernon Ave S, Savage, MN 55378-4027 | 2007-01-05 |
| 1902908809 | Jessica Lynn Young | Dentist | 7447 Egan Dr, Suite 220, Savage, MN 55378-2254 | 2006-09-01 |
| 1194271551 | Diem Quynh Thi Tran | Dentist | 13899 Hwy 13 S, Savage, MN 55378 | 2016-08-26 |
| 1528423274 | Adelmann Dentistry LLC | Dentist | 14247 Oconnell Ct, 100, Savage, MN 55378-2878 | 2015-12-23 |
| 1306218698 | Ryan Timothy Pfundheller | Dentist | 13899 Highway 13 S, Savage, MN 55378 | 2015-10-26 |
| 1629335419 | Paul W Fiedler | Dentist | 7447 Egan Dr, Suite 200, Savage, MN 55378-2254 | 2012-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788498 | Modern Dental Professionals | Dentist | 676 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-10-22 |
| 1588261812 | New London Family Dental | Dentist | 15 Ash St Se, New London, MN 56273 | 2020-10-09 |
| 1164036422 | Lolita Hicks | Dentist | 1290 Salem Rd Sw Ste 10, Rochester, MN 55902-4210 | 2020-09-03 |
| 1326650961 | Mcgann Family Dental | Dentist | 8981 33rd St N, Lake Elmo, MN 55042-9209 | 2020-08-17 |
| 1285243733 | Grant R. Sorensen, Dds | Dentist | 1029 3rd Ave Ste 1, Worthington, MN 56187-2399 | 2020-07-29 |
| 1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
| 1205444106 | Sidra Zahooruddin | Dentist | 107 Dupont Ave, Nw, Renville, MN 56284 | 2020-07-16 |
| 1104434380 | Jongseuk Lim | Dentist | 1119 W Frontage Rd, Owatonna, MN 55060-5663 | 2020-07-14 |
| 1699393942 | Danika Elizabeth Jackson | Dentist | 237 Radio Dr Ste 110, Woodbury, MN 55125-4478 | 2020-07-13 |
| 1033736368 | Landon Thomas Case | Dentist | 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.