Jensen, Stephen Ray

Jensen, Stephen Ray is an sole proprietor health care provider with primary practice located at 1161 Mall Dr Ste A , Las Cruces NM 88011-8193. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is his primary health care specialty. Jensen, Stephen Ray can be contacted via phone (575) 522-1779.

Contact Information

Primary practice address
1161 Mall Dr Ste A Las Cruces NM 88011-8193
Fax: (575) 522-4789
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 52028788903 Utah
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DD3479 New Mexico

Profile Details

NPI number 1932161825
LBN Legal business name Jensen, Stephen Ray
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2006
Last updated Jun 23rd, 2011 - about 13 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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