Individual
DR. JANSEN DONOGHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2982
NM
122300000X
Dentist
Primary
DRES182007
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DRES182007
TRAINING
NM
Enumeration date
06/22/2007
Last updated
08/07/2026
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