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Contact Information

MARK R JENSEN, DDS
3401 HIGHWAY 169 N
PLYMOUTH, MN55441-2413
 Phone: 763-559-0859
 Fax: 763-559-4356
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for MARK R JENSEN · (Male)

NPI # 1013082882
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/21/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 10652
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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