Individual
DR. MARK S. JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8901 W 74TH ST, SUITE 245, SHAWNEE MISSION, KS 66204-2238
(913) 384-2242
(913) 384-4685
Mailing address
8901 W 74TH ST, SUITE 245, SHAWNEE MISSION, KS 66204-2238
(913) 384-2242
(913) 384-4685
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6523
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17844026
BCBS OF KANSAS CITY
KS
01
—
383189
BCBS OF KANSAS
KS
Enumeration date
12/08/2008
Last updated
12/08/2008
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