Organization
JAMES R JENSEN, DDS
Active
Other names
James R Jensen DDS
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA PASS (OFFICE MANAGER)
(952) 445-1352
Entity
Organization
Contact information
Practice address
300 1ST AVE E, SHAKOPEE, MN 55379-1444
(952) 426-0367
Mailing address
300 1ST AVE E, SHAKOPEE, MN 55379-1444
(952) 426-0367
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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