Jaclyn M Jensen is a Dentist in Grand Forks, North Dakota. Jaclyn M Jensen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jaclyn M Jensen is 1528265832. The last update date is 2007-07-08.
Jaclyn M Jensen's current location address is 1197 A South Columbia Road, Grand Forks, North Dakota. You can contact this provider via phone number 7017754751 and fax number 7017464931. The mailing address for Jaclyn M Jensen is 1197 A South Columbia Road, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaclyn M Jensen |
|---|---|
| Address | 1197 A South Columbia Road, Grand Forks, North Dakota |
| Phone Number | 7017754751 |
| Fax Number | 7017464931 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1528265832 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1197 A South Columbia Road |
|---|---|
| City | Grand Forks |
| State | North Dakota (ND) |
| Post Code | 58201 |
| Phone Number | 7017754751 |
| Fax Number | 7017464931 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1984 |
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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 identifier code issued to Jaclyn M Jensen by the Centers for Medicare & Medicaid Services?
The Jaclyn M Jensen has been assigned the NPI (National Provider Identifier) 1528265832. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jaclyn M Jensen is physically located?
The Jaclyn M Jensen is situated at the following address: 1197 A South Columbia Road, Grand Forks, ND 58201.
What is Jaclyn M Jensen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jaclyn M Jensen is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did Jaclyn M Jensen receive its 1528265832 assignment from the Centers for Medicare & Medicaid Services?
The Jaclyn M Jensen was assigned its 1528265832 on 2007-06-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jaclyn M Jensen most recently updated?
The details pertaining to the Jaclyn M Jensen, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.