Jordan Pellegrom, D.D.S.
Pediatric Dentistry · Sartell, MN
Jordan Pellegrom, D.D.S. is a pediatric dentistry with a practice address in Sartell, Minnesota, and NPI 1639806326, issued on Aug 3, 2022. Check the license (Minnesota D14853, as entered in NPPES) with the Minnesota board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jordan Pellegrom
- Credential
- D.D.S.
- Primary taxonomy
- Pediatric Dentistry 1223P0221X
- License number
- D14853 MN
Self-reported in NPPES; status is on the state search - Practice location
- 140 Twin Rivers CT, Sartell, MN 56377
- Phone
- (320) 257-3380
- Enumerated
- Aug 3, 2022
- Record last updated
- Sep 5, 2023
- Entity
- Type 1 · individual
Also registered at 140 Twin Rivers CT
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Dennis Carreras, D.M.D.Pediatric Dentistry1104932870
- Kyle Knudsen, D.D.S.Orthodontics and Dentofacial Orthopedics Dentistry1558703975
- Mitchell Kramer, D.D.S.Pediatric Dentistry1912254160
- Mitchell Loeb, D.D.S.Dentist1881042802
- Kathryn Thompson, DDSPediatric Dentistry1013321017
Verify Jordan Pellegrom in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license D14853Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Pediatric Dentistry providers in Minnesota
There are 128 pediatric dentistry records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other pediatric dentistry records in Minnesota
- Deanna Alevizos, DDSBurnsville, MN1427169622
- Amanda Allen, DMDBurnsville, MN1891854832
- Abdirahim Askar, DDSMinneapolis, MN1811883176
- Tiana Barsness, DDSMaplewood, MN1215591573
- Lyndsay Bates, D.D.S., M.S.Saint Paul, MN1285958074
- Nicholas Baylon, D.D.S.Woodbury, MN1528374618
- Richard Baylon, D.D.S.Woodbury, MN1760563480
- Renee Bechly, D.M.D.Saint Cloud, MN1154178887
- Sarah Beck, DDSRochester, MN1912646027
- Thomas Beckman, D.D.S.Minneapolis, MN1962581520
Common questions
What is Jordan Pellegrom, D.D.S.'s NPI number?
Jordan Pellegrom, D.D.S.'s National Provider Identifier (NPI) is 1639806326, issued on Aug 3, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Jordan Pellegrom, D.D.S. located?
The NPPES record lists a practice address at 140 Twin Rivers CT, Sartell, MN, 56377. Phone: (320) 257-3380. Providers update this record themselves, so call before visiting.
How can I verify Jordan Pellegrom, D.D.S.'s license?
NPPES lists Minnesota license number D14853, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.