IndividualActive
Guy Jensen, D.D.S., M.S.
NPI 1225137227 · Oral and Maxillofacial Pathology Dentistry · Fond Du Lac, WI
Provider details
- NPI number
- 1225137227
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- D.D.S., M.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 5001856 (WI)
Specialties & taxonomies
Dental Providers
Practice location
464 S Hickory St
Suite a
Fond Du Lac, WI 54935-5531
Phone: (920) 923-0111
Fax: (920) 923-0366
Approximate (ZIP-level) locationGet directions
Mailing address
464 S Hickory St
Fond Du Lac, WI 54935-5531
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.