Dr. Kaci B. Jensen, Pllc
LBN: Dr. Kaci B. Jensen, Pllc
Dr. Kaci B. Jensen, Pllc is an health care organization with primary practice located at 9755 W Leo Dr , Boise ID 83709-8249. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental. Dental Providers / General Practice is the primary health care specialty.
Dr. Kaci B. Jensen, Pllc can be contacted via phone (208) 791-4926, or through Jensen, Kaci B. via phone (208) 791-4926.
Contact Information
Primary practice address
9755 W Leo Dr
Boise ID 83709-8249
Phone: (208) 791-4926
Fax:
Website:
Authorized official contact:
Name: Jensen, Kaci B. Doctor of Dental Surgery (DDS)
Phone: (208) 791-4926
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D-4034 | Idaho |
| Ambulatory Health Care Facilities / Dental | 261QD0000X | 2000159748 | Missouri |
Profile Details
| NPI number | 1255339297 |
|---|---|
| LBN Legal business name | Dr. Kaci B. Jensen, Pllc |
| DBA Doing business as | |
| Authorized official | Jensen, Kaci B. Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Mar 7th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255339297 | NPPES |
| Idaho | MEDICAID | 807602800 |
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