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NPI 1619791019

OrganizationActive

James R Jensen, DDS

NPI 1619791019 · Periodontics · Shakopee, MN

Provider details

NPI number: 1619791019
Entity type: Organization
Primary specialty: PeriodonticsDental Providers
Organization subpart: No
Authorized official: Tonia Pass, Office Manager(952) 445-1352

Specialties & taxonomies

PeriodonticsPrimary1223P0300X
Dental Providers
Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities

Practice location

300 1st Ave E

Shakopee, MN 55379-1444

Phone: (952) 426-0367

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

300 1st Ave E

Shakopee, MN 55379-1444

Other names (DBA / former)

Doing business as: James R Jensen DDS

Registry dates

Enumerated: 2024-11-12
Last updated: 2024-11-12
Certified: 2024-11-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

James R Jensen, DDS — NPI 1619791019, Shakopee, MN | NPI Central