DR. Russell Ray Jensen, D.M.D.

NPI #1023440146 in Great Falls, Montana

Provider Information

NPI Number: 1023440146
Entity Type: Individual
Name: DR. Russell Ray Jensen, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jul 31, 2013
Last Updated: Jul 31, 2013

Practice Location

Address: 1804 38TH ST SOUTH
City: Great Falls
State: Montana
ZIP Code: 59405
Phone: (801) 592-5695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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