Individual provider · Type 1 NPI

Robert L. Jensen, DDS MSD

Periodontics · St. Paul, MN

NPI number 1720099849 Active

Practice location

2480 White Bear Ave N Ste 201
St. Paul, MN 55109-4567

Fax (651) 770-9199

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XD7860 (MN)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1720099849

Robert L. Jensen, DDS MSD's National Provider Identifier is 1720099849, issued on Aug 11, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in St. Paul, MN. The record was last updated on Jul 8, 2007.