Individual
DR. PEDER J JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2501 CRESTWOOD RD STE 102, NORTH LITTLE ROCK, AR 72116-7615
(501) 758-6182
(501) 758-6184
Mailing address
2501 CRESTWOOD RD STE 102, NORTH LITTLE ROCK, AR 72116-7615
(501) 758-6182
(501) 758-6184
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2544
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2544
ARKANSAS DENTAL LICENSE
AR
Enumeration date
01/16/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us