DR. Scott A Jensen, DMD

NPI #1710965926 in Great Lakes, Illinois

Provider Information

NPI Number: 1710965926
Entity Type: Individual
Name: DR. Scott A Jensen, DMD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - Endodontics
Credential: DMD
Enumeration Date: Jan 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3001 6TH ST
Address 2: DENTAL DIRECTORATE
City: Great Lakes
State: Illinois
ZIP Code: 60088-2833
Phone: (847) 688-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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