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
Phone: (575) 522-1779
Fax: (575) 522-4789
Website:
Health care specialties
| Specialty | Code | License # | 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 14 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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