| Benjamin Jensen, Dds, Pc | |
|
2703 Fox Run Pkwy Yankton SD 57078-5350 | |
| (605) 665-7479 | |
| Not Available |
| Full Name | Benjamin Jensen, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2703 Fox Run Pkwy, Yankton, South Dakota |
| Authorized Official Name and Position | Benjamin D Jensen (PRESIDENT) |
| Authorized Official Contact | 6056657479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Jensen, Dds, Pc 2703 Fox Run Pkwy Yankton SD 57078-5350 Ph: () - | Benjamin Jensen, Dds, Pc 2703 Fox Run Pkwy Yankton SD 57078-5350 Ph: (605) 665-7479 |
| NPI Number | 1083817498 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083817498 | NPI | - | NPPES |
| 4009856 | Other | TN | BCBS OF TN PROVIDER # |
| 7809990 | Medicaid | SD | |
| 1730255159 | Other | SD | INDIVIDUAL NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M935 (South Dakota) | Primary |
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