Provider Demographics
NPI:1982273876
Name:STEMPEL, JENS PETER (DDS)
Entity type:Individual
Prefix:
First Name:JENS
Middle Name:PETER
Last Name:STEMPEL
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 1:5975 CATHCART DR
Mailing Address - Street 2:
Mailing Address - City:EXCELSIOR
Mailing Address - State:MN
Mailing Address - Zip Code:55331-8916
Mailing Address - Country:US
Mailing Address - Phone:612-751-9861
Mailing Address - Fax:
Practice Address - Street 1:3088 WHITE BEAR AVE N
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-1312
Practice Address - Country:US
Practice Address - Phone:612-315-1839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND14609122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist