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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PEDER JENSEN, DMD, PA

Active Organization

PEDER JENSEN, DMD, PA is a Periodontology organization located in NORTH LITTLE ROCK, Arkansas. NPI 1063673440 is currently active in the NPPES registry. Verify at CMS.

Periodontology · NORTH LITTLE ROCK, AR

Registration Details

NPI Number
1063673440
Provider Type
Organization
NPI Issued
Jun 19, 2008 (18.177432643523 yrs)
Last Updated
Jun 19, 2008
License
2544 (AR)

Practice Information

Address
2501 CRESTWOOD RD
STE 102
NORTH LITTLE ROCK, AR, 721166864
Browse AR providers · Browse ZIP 72116
Phone
5017586182
Fax
5017586184
Primary Specialty
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.