IndividualActive
Robert Jensen, DDS MSD
NPI 1720099849 · Periodontics · Saint Paul, MN
Provider details
- NPI number
- 1720099849
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS MSD
- Sex
- Male
- Sole proprietor
- No
- License
- D7860 (MN)
Specialties & taxonomies
Dental Providers
Practice location
2480 White Bear Ave N Ste 201
Saint Paul, MN 55109-4567
Phone: (651) 770-3014
Fax: (651) 770-9199
Approximate (ZIP-level) locationGet directions
Mailing address
2480 White Bear Ave N Ste 201
Saint Paul, MN 55109-4567
Registry dates
- Enumerated
- 2006-08-11
- 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.