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Contact Information

BEN C JORGENSEN, DDS
550 POND VIEW DR STE 2
NORTH LIBERTY, IA52317
 Phone: 319-459-1975
 Fax: 319-459-1977
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for BEN C JORGENSEN · (Male)

NPI Number 1649521121
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/25/2012
Last updated 04/23/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 09095
  • IA Other 1649521121 LHI
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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