Individual provider · Type 1 NPI

Richard Edmund Jensen, DDS

General Practice Dentistry · Green Bay, WI

NPI number 1275741019 Active

About NPI 1275741019

Richard Edmund Jensen, DDS's National Provider Identifier is 1275741019, issued on May 17, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Green Bay, WI. The record was last updated on Jul 9, 2007.