Dr. David Jensen
Dentist in Gainesville, FL. Individual provider (NPI-1).
NPI number1164057733
StatusActive
Last updated in NPPESJul 6, 2020
Details
- NPI
- 1164057733
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Jensen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 4, 2020
- Certification date
- Jul 6, 2020
- Last updated
- Jul 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DRPM2174 | FL | Yes |
| 122300000X | Dentist | 01273 | KY |
Practice location
1395 Center DrGainesville, FL 32610-7001
Phone 352-273-5800
Mailing address
434 Nw 134th Way Apt 204Newberry, FL 32669-3675
Phone 808-639-6839
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