NPI 1023410529

Henry Charles Jensen

Practitioner Dentist Fairbanks, AK

Practice location

Address: 570 Riverstone Way Suite 1, Fairbanks, AK 99709-2940
Phone: (907) 455-4350
Mailing address: 1547 S Higgins Ave Suite D, Missoula, MT 59801-4226

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 11581 (MT)

Other Dentist providers in Alaska →

Dentist

Dental Providers Taxonomy 122300000X Licence 1583 (AK)

Registry record

NPI: 1023410529
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Sep 2014
Record last updated: 20 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.