Gregory Anthony Jensen, D.D.S.
Dentist, General Practice in Hartford, WI. Individual provider (NPI-1).
NPI number1497903751
StatusActive
Last updated in NPPESAug 28, 2008
Details
- NPI
- 1497903751
- Entity type
- Individual (NPI-1)
- Name
- Gregory Anthony Jensen
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2008
- Last updated
- Aug 28, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 782 | WI | Yes |
Practice location
1009 E Sumner StHartford, WI 53027-1607
Phone 262-673-3303
Mailing address
1009 E Sumner StHartford, WI 53027-1607
Phone 262-673-3303
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