Scott M Jensen DMD PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5555 Issued in NC

Legal business name

SCOTT M JENSEN DMD PA

Practice address

920 Cherry St
Greensboro, NC 27401-1422

Phone

(336) 379-1500

Fax

(336) 379-8585

NPI assigned

Aug 13, 2010

Organization subpart

No

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

Authorized official

Name

Scott M Jensen, DMD

Title

Owner

Phone

(336) 379-1500

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1801101803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CHERRY STREET",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27401",
            "telephone_number": "336-379-1500",
            "fax_number": "336-379-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 CHERRY ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011422",
            "telephone_number": "336-379-1500",
            "fax_number": "336-379-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT M JENSEN DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-379-1500",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "5555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2414647A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8994548",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy Ferguson Scifres, PA-C
• Robert J Scifres, M.A.
• Alexis Scotece
• Scott a Welch DDS PA
• Scott Care Servoce
• Scott W Cashion DDS Ms PA
• Scott W. Cashion, DDS Ms PA
• Janine Anita Scott-Lowe, M.D.
• A. Renee Scott
• Allison Katrina Scott, ND

• Oral and Maxillofacial Surgery (Dentist) in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.