| Peder Jensen, Dmd, Pa | |
|
2501 Crestwood Rd Ste 102 North Little Rock AR 72116-6864 | |
| (501) 758-6182 | |
| (501) 758-6184 |
| Full Name | Peder Jensen, Dmd, Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2501 Crestwood Rd, North Little Rock, Arkansas |
| Authorized Official Name and Position | Zelma Seymore (OFFICE MANAGER) |
| Authorized Official Contact | 5017586182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peder Jensen, Dmd, Pa 2501 Crestwood Rd Ste 102 North Little Rock AR 72116-6864 Ph: (501) 758-6182 | Peder Jensen, Dmd, Pa 2501 Crestwood Rd Ste 102 North Little Rock AR 72116-6864 Ph: (501) 758-6182 |
| NPI Number | 1063673440 |
|---|---|
| Provider Enumeration Date | 06/19/2008 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063673440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 2544 (Arkansas) | Primary |
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