| Jensen & Jensen DDS PA | |
|
2480 White Bear Ave N Ste 201 Maplewood MN 55109-4567 | |
| (651) 770-3014 | |
| (651) 770-9199 |
| Full Name | Jensen & Jensen DDS PA |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2480 White Bear Ave N Ste 201, Maplewood, Minnesota |
| Authorized Official Name and Position | Robert L Jensen (DOCTOR) |
| Authorized Official Contact | 6517703014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jensen & Jensen DDS PA 2480 White Bear Ave N Ste 201 Maplewood MN 55109-4567 Ph: (651) 770-3014 | Jensen & Jensen DDS PA 2480 White Bear Ave N Ste 201 Maplewood MN 55109-4567 Ph: (651) 770-3014 |
| NPI Number | 1437275039 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437275039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | D7860 (Minnesota) | Primary |
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