Organization

James R Jensen, Dds

Periodontist in Shakopee, MN(View on Map)

Legal Business Name

James R Jensen, Dds

NPI Number

1619791019

NPI Type

Organization

Enumeration Date

11/12/2024

Specialties

(Taxonomies)

Code

1223P0300X
261QD0000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

300 1ST AVE E
300 1ST AVE E

City

Shakopee
Shakopee

State

MN
MN

Postal Code

55379-1444
55379-1444

Country

US
US

Telephone Number

(952) 426-0367
(952) 426-0367

Authorized Official

Name

Tonia Pass

Title or Position

OFFICE MANAGER

Telephone Number

(952) 445-1352

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/12/2024

Provider Address