Individual
DR. TERRY MICHAEL JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
322 M ST, NELIGH, NE 68756-1421
(402) 887-5214
(402) 887-4904
Mailing address
322 M ST, PO BOX 206, NELIGH, NE 68756-1421
(402) 887-5214
(402) 887-4904
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04674
BLUE CROSS/BLUE SHIELD
NE
05
—
470581743-00
—
NE
Enumeration date
09/20/2006
Last updated
07/08/2007
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