Individual
DR. JOHN F JANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6105 OLIVE BRANCH RD, GREENWOOD, IN 46143-9007
(317) 331-6016
Mailing address
6105 OLIVE BRANCH RD, GREENWOOD, IN 46143-9007
(317) 331-6016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009237A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100132750
—
IN
Enumeration date
07/27/2006
Last updated
08/26/2012
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