Dr. Jaclyn M. Jensen DDS, PC
Organization Active NPI General Practice Dentistry · Crookston, MN
NPI 1063661726 · NPPES record last updated Sep 17, 2008
Key facts
- NPI
- 1063661726
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D12281 (MN)
- Legal business name
- DR. JACLYN M. JENSEN DDS, PC
- Practice address
- 310 S Broadway
Crookston, MN 56716-1913 - Phone
- (218) 281-1301
- NPI assigned
- Sep 17, 2008
- Organization subpart
- No
Authorized official
- Name
- Jaclyn Jensen
- Title
- Owner
- Phone
- (218) 281-1301
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | D12281 | MN | Yes |
Addresses
Primary practice location
310 S Broadway
Crookston, MN 56716-1913
Mailing address
310 S Broadway
Crookston, MN 56716-1913
Phone (218) 281-1301
Other providers in Crookston, MN
- Jennifer Marie Derosier
- Vernon Desjarlais
- Bradly Donabauer
- Ronald C Dorman
- Janelle Lynn Doyle
- Anthony Duncan
- Brooke Elde
- Maddie Victoria Engelstad
- Erickson Family Dental P.a.
- Brandi June Erickson
All providers in Crookston, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.