Jensen, Matthew T
Jensen, Matthew T is an individual health care provider with primary practice located at 10214 N Tatum Blvd Ste B600 , Phoenix AZ 85028-4299. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Jensen, Matthew T can be contacted via phone (602) 899-0488.Contact Information
Primary practice address
10214 N Tatum Blvd Ste B600
Phoenix AZ 85028-4299
Phone: (602) 899-0488
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D009393 | Arizona |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D009393 | Arizona |
| Dental Providers / General Practice | 1223G0001X | 22DI02574900 | New Jersey |
| Dental Providers / General Practice | 1223G0001X | 057466-1 | New York |
Profile Details
| NPI number | 1831438787 |
|---|---|
| LBN Legal business name | Jensen, Matthew T |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2013 |
| Last updated | Mar 11th, 2024 - about 2 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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