Provider Demographics
NPI:1962836791
Name:JENSEN, JEFFERY SCOTT (DDS)
Entity type:Individual
Prefix:DR
First Name:JEFFERY
Middle Name:SCOTT
Last Name:JENSEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40TH AND HOLDREGE
Mailing Address - Street 2:UNMC COLLEGE OF DENTISTRY
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68583-0740
Mailing Address - Country:US
Mailing Address - Phone:402-472-1301
Mailing Address - Fax:
Practice Address - Street 1:40TH AND HOLDREGE
Practice Address - Street 2:UNMC COLLEGE OF DENTISTRY
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68583-0740
Practice Address - Country:US
Practice Address - Phone:402-472-1301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1161223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics