Jensen, Kurt Fredric

Jensen, Kurt Fredric is an individual health care provider with primary practice located at 6050 Brynwood Dr Ste 102, Rockford IL 61114-6579. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Jensen, Kurt Fredric can be contacted via phone (815) 877-0694.

Contact Information

Primary practice address
6050 Brynwood Dr Ste 102 Rockford IL 61114-6579
Phone: (815) 877-0694
Fax: (815) 877-4254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X Illinois

Profile Details

NPI number 1598805822
LBN Legal business name Jensen, Kurt Fredric
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 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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