# SCOTT M JENSEN DMD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801101803
- **Authorized official:** SCOTT M JENSEN DMD (OWNER)
- **Authorized official phone:** (336) 379-1500

## Contact information

- **Practice address:** 920 CHERRY ST, GREENSBORO, NC 27401-1422
- **Practice address phone:** (336) 379-1500
- **Practice address fax:** (336) 379-8585
- **Mailing address:** 920 CHERRY STREET, GREENSBORO, NC 27401
- **Mailing address phone:** (336) 379-1500
- **Mailing address fax:** (336) 379-8585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 5555 | NC | Yes |

## Other

- **Enumeration date:** 08/13/2010
- **Last updated:** 06/27/2011