Robert L Jensen in Saint Paul - Periodontics

Robert L Jensen - NPI 1720099849

Robert L Jensen is a Periodontics in Saint Paul, Minnesota. Robert L Jensen practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Robert L Jensen is 1720099849. The last update date is 2007-07-08.

Robert L Jensen's current location address is 2480 White Bear Ave N Ste 201, Saint Paul, Minnesota. You can contact this provider via phone number 6517703014 and fax number 6517709199. The mailing address for Robert L Jensen is 2480 White Bear Ave N Ste 201, Saint Paul, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert L Jensen
Address 2480 White Bear Ave N Ste 201, Saint Paul, Minnesota
Phone Number 6517703014
Fax Number 6517709199
Sole Proprietor N
Credentials DDS MSD

NPI Number Detail

NPI Number 1720099849
Provider Enumeration Date 2006-08-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2480 White Bear Ave N Ste 201
City Saint Paul
State Minnesota (MN)
Post Code 551094567
Phone Number 6517703014
Fax Number 6517709199

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No D7860
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Robert L Jensen

What is the unique identifier code issued to Robert L Jensen by the Centers for Medicare & Medicaid Services?

The Robert L Jensen has been assigned the NPI (National Provider Identifier) 1720099849. 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 Robert L Jensen is physically located?

The Robert L Jensen is situated at the following address: 2480 White Bear Ave N Ste 201, Saint Paul, MN 551094567.

What is Robert L Jensen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Robert L Jensen is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.

On what date did the Robert L Jensen receive its 1720099849 assignment from the Centers for Medicare & Medicaid Services?

The Robert L Jensen was assigned its 1720099849 by the Centers for Medicare & Medicaid Services on 2006-08-11.

When was the information related to Robert L Jensen most recently updated or refreshed?

The details pertaining to the Robert L Jensen, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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