Individual
DR. MCKAY JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
295 S 10TH ST, COOS BAY, OR 97420-4623
(541) 269-5353
(541) 266-0933
Mailing address
295 S 10TH ST, COOS BAY, OR 97420-4623
(541) 269-5353
(541) 266-0933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61927
KS
122300000X
Dentist
Primary
D11765
OR
1223G0001X
General Practice Dentistry
61927
KS
1223G0001X
General Practice Dentistry
Primary
D11765
OR
Other
Enumeration date
05/16/2022
Last updated
05/14/2026
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