Jensen, Benjamin D

Jensen, Benjamin D is an individual health care provider with primary practice located at 2703 Fox Run Pkwy , Yankton SD 57078-5350. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jensen, Benjamin D can be contacted via phone (605) 665-7479.

Contact Information

Primary practice address
2703 Fox Run Pkwy Yankton SD 57078-5350
Phone: (605) 665-7479
Fax: (605) 260-7410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X M935 South Dakota

Profile Details

NPI number 1730255159
LBN Legal business name Jensen, Benjamin D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730255159 NPPES
South Dakota MEDICAID 7809990
South Dakota Other 4009856
South Dakota MEDICAID 46046145300

Popular Providers