Peder Jensen, Dmd, PA
Dentist, Periodontics in North Little Rock, AR. Organization (NPI-2).
NPI number1063673440
StatusActive
Last updated in NPPESJun 19, 2008
Details
- NPI
- 1063673440
- Entity type
- Organization (NPI-2)
- Legal business name
- Peder Jensen, Dmd, PA
- Organization subpart
- No
- Enumeration date
- Jun 19, 2008
- Last updated
- Jun 19, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 2544 | AR | Yes |
Practice location
2501 Crestwood RdSte 102
North Little Rock, AR 72116-6864
Phone 501-758-6182 · Fax 501-758-6184
Mailing address
2501 Crestwood RdSte 102
North Little Rock, AR 72116-6864
Phone 501-758-6182 · Fax 501-758-6184
Authorized official
Zelma Seymore
Office Manager
5017586182
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Periodontics providers in North Little Rock, AR
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.