Jordan Pellegrom, DDS
- Affiliated sites
- 2
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2022
- Practice address
- 1526 Northway Drive, Saint Cloud, MN 56303
- Practice phone
- Call (320) 251-8385
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
St. Cloud Surgical Center
Surgery Center - Medicare-Certified · Saint Cloud, Minnesota
Find Jordan Pellegrom's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Jordan Pellegrom is a pediatric dentist in Saint Cloud, Minnesota
Jordan Pellegrom practices at St. Cloud Surgical Center in Saint Cloud, Minnesota.
Jordan Pellegrom's NPI, 1639806326, was assigned on August 3, 2022. Jordan Pellegrom holds Minnesota license D14853.
- NPI
- 1639806326NPI Registry (opens in a new tab)
- NPI enumeration date
- August 3, 2022
- NPI status
- Active
- Practice phone
- (320) 251-8385
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Jordan Pellegrom practices at St. Cloud Surgical Center in Saint Cloud, Minnesota
Jordan Pellegrom's primary practice is St. Cloud Surgical Center, at 1526 Northway Drive, Saint Cloud, MN 56303. The practice phone is (320) 251-8385.
- St. Cloud Surgical Center1526 Northway Drive, Saint Cloud, MN 56303Phone(320) 251-8385
Source: Dmand AI Affiliation Data
Jordan Pellegrom is affiliated with 2 sites of care and 1 medical group
Jordan Pellegrom's primary practice is St. Cloud Surgical Center in Saint Cloud, Minnesota. Dmand AI also links Jordan Pellegrom to 1 group practice or clinic and 1 medical group, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Jordan Pellegrom's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Jordan Pellegrom practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| St. Cloud Surgical Center | Available with a free account |
| +1 more site and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Jordan Pellegrom is one of 93 pediatric dentists in Minnesota
Pediatric dentistry is Jordan Pellegrom's primary specialty in the NPI Registry, under taxonomy code 1223P0221X. Jordan Pellegrom is licensed in Minnesota.
Specialties and state licenses
- Pediatric dentist, MinnesotaPrimary
Pediatric dentists near Jordan Pellegrom
Counts of pediatric dentists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Jordan Pellegrom's patients have a median age of 5
Across all payers, Dmand AI patient panel data puts Jordan Pellegrom's median patient age at 5, with 47% women.
Jordan Pellegrom's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 5
Patient panel by sex, all payers
- Women47%
- Men53%
Source: Dmand AI Patient Panel Data
Sources for Jordan Pellegrom's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Jordan Pellegrom
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Jordan Pellegrom's NPI number?
Jordan Pellegrom's NPI number is 1639806326. It was assigned on August 3, 2022, and it is active in the NPI Registry.
What does Jordan Pellegrom specialize in?
Jordan Pellegrom is a pediatric dentist in Saint Cloud, Minnesota. The primary specialty in the NPI Registry is Pediatric Dentist (taxonomy code 1223P0221X).
Where does Jordan Pellegrom practice?
Jordan Pellegrom practices at 1526 Northway Drive, Saint Cloud, MN 56303. Jordan Pellegrom's primary practice is St. Cloud Surgical Center in Saint Cloud, Minnesota. Dmand AI also links Jordan Pellegrom to 1 group practice or clinic and 1 medical group.
What is Jordan Pellegrom's office phone number?
The practice phone on file for Jordan Pellegrom is (320) 251-8385.
What is Jordan Pellegrom's medical license number?
Jordan Pellegrom holds Minnesota license D14853.
How long has Jordan Pellegrom been practicing?
Jordan Pellegrom's NPI was assigned in 2022.
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