Jorgen Svenson, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS026283L Issued in PA

Practice address

2050 W Chester Pike Ste 4
Havertown, PA 19083-2742

Phone

(610) 789-0158

Fax

(610) 789-9238

NPI assigned

Sep 25, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1487056057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 W CHESTER PIKE STE 4",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832742",
            "telephone_number": "610-789-0158",
            "fax_number": "610-789-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W CHESTER PIKE STE 4",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832742",
            "telephone_number": "610-789-0158",
            "fax_number": "610-789-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVENSON",
        "first_name": "JORGEN",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026283L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Havertown, PA
• Providers in Havertown, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.