Jensen, Scott Mckenzie

Jensen, Scott Mckenzie is an individual health care provider with primary practice located at 920 Cherry Street , Greensboro NC 27401. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Jensen, Scott Mckenzie can be contacted via phone (336) 379-1500.

Contact Information

Primary practice address
920 Cherry Street Greensboro NC 27401
Phone: (336) 379-1500
Fax: (336) 379-8585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5555 North Carolina

Profile Details

NPI number 1881770089
LBN Legal business name Jensen, Scott Mckenzie
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881770089 NPPES
North Carolina MEDICAID 8994548

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