Organization
STEVEN K JENSEN DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN K JENSEN DDS (OWNER)
(801) 553-1616
Entity
Organization
Contact information
Practice address
880 E 9400 S STE 101, SANDY, UT 84094-4138
(801) 553-1616
Mailing address
880 E 9400 S STE 101, SANDY, UT 84094-4138
(801) 553-1616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
145786
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
972347
UNITED CONCORDIA DENTAL I
PA
Enumeration date
05/01/2007
Last updated
08/22/2020
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