Jensen, Jaclyn M

Jensen, Jaclyn M is an individual health care provider with primary practice located at 1197 A South Columbia Road Suite A, Grand Forks ND 58201. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Jensen, Jaclyn M can be contacted via phone (701) 775-4751.

Contact Information

Primary practice address
1197 A South Columbia Road Suite A Grand Forks ND 58201
Phone: (701) 775-4751
Fax: (701) 746-4931
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1984 North Dakota

Profile Details

NPI number 1528265832
LBN Legal business name Jensen, Jaclyn M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Jul 8th, 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.

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