Mark Jensen Dds is a Dentist in Glendale, Arizona. Mark Jensen Dds practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Jensen Dds is 1831140045. The last update date is 2012-06-12.
Mark Jensen Dds's current location address is 18275 N 59th Ave, Glendale, Arizona. You can contact this provider via phone number 6029783643. The mailing address for Mark Jensen Dds is 18275 N 59th Ave, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark Jensen Dds |
|---|---|
| Address | 18275 N 59th Ave, Glendale, Arizona |
| Phone Number | 6029783643 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jensen Mark |
| Credentials | DDS |
| Telephone Number | 6029783643 |
NPI Number Detail
| NPI Number | 1831140045 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2012-06-12 |
Provider Mailing Address Detail
| Address | 18275 N 59th Ave |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 85308 |
| Phone Number | 6029783643 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2376 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code assigned to Mark Jensen Dds by the Centers for Medicare & Medicaid Services?
The Mark Jensen Dds has been issued the NPI (National Provider Identifier) 1831140045, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark Jensen Dds?
The Mark Jensen Dds is physically situated at 18275 N 59Th Ave, in the city of Glendale, state of AZ, with the postal code 85308.
What is the Mark Jensen Dds's area of specialization and corresponding taxonomy classification?
The Mark Jensen Dds's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did the Mark Jensen Dds receive its 1831140045?
The Mark Jensen Dds was issued its 1831140045 on 2006-05-12, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Mark Jensen Dds, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Jensen Dds, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-06-12.
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