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Individual

DR. JEAN ANNE JENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD, MS

Contact information

Practice address
1415 MAIN ST, SHELBYVILLE, KY 40065-1601
(502) 633-4613
Mailing address
1415 MAIN ST, SHELBYVILLE, KY 40065-1601
(502) 633-4613

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8359
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100026370
KY
Enumeration date
09/13/2006
Last updated
02/19/2014
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