Individual
DR. ERIK EYVIND JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1720 GUNBARREL RD, SUITE 308, CHATTANOOGA, TN 37421-3192
(423) 892-3131
(423) 892-3902
Mailing address
1720 GUNBARREL RD, SUITE 308, CHATTANOOGA, TN 37421-3192
(423) 892-3131
(423) 892-3902
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS7328
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
342767
UNITED CONCORDIA
TN
01
—
4043783
BLUECROSS BLUESHIELD
TN
Enumeration date
08/02/2006
Last updated
07/08/2007
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