| James R Jensen, Dds | |
|
300 1st Ave E Shakopee MN 55379-1444 | |
| (952) 426-0367 | |
| Not Available |
| Full Name | James R Jensen, Dds |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 300 1st Ave E, Shakopee, Minnesota |
| Authorized Official Name and Position | Tonia Pass (OFFICE MANAGER) |
| Authorized Official Contact | 9524451352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James R Jensen, Dds 300 1st Ave E Shakopee MN 55379-1444 Ph: (952) 426-0367 | James R Jensen, Dds 300 1st Ave E Shakopee MN 55379-1444 Ph: (952) 426-0367 |
| NPI Number | 1619791019 |
|---|---|
| Provider Enumeration Date | 11/12/2024 |
| Last Update Date | 11/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619791019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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