Individual
NEVIN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2233 W BASELINE RD, TEMPE, AZ 85283-1039
(602) 438-9245
Mailing address
PO BOX 295, CLEVELAND, UT 84518-0295
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9336175-9926
UT
122300000X
Dentist
Primary
D012773
AZ
183500000X
Pharmacist
9336175-1701
UT
Other
Enumeration date
06/19/2025
Last updated
07/08/2026
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