person
Dr. Peder J Jensen, DMD
Periodontist in North Little Rock, Arkansas
NPI 1407907165

Peder J Jensen is a Periodontist based in North Little Rock, AR and is specialized in Periodontics. Peder J Jensen practices in North Little Rock, AR and has the professional credentials of DMD. The NPI Number for Peder J Jensen is 1407907165 and holds a License No. 2544 (Arkansas).

The current practice location address for Peder J Jensen is 2501 Crestwood Rd Ste 102, North Little Rock, AR and can be reached out via phone at 501-758-6182 and via fax at 501-758-6184. You can also correspond with Peder J Jensen through the mailing address at 2501 CRESTWOOD RD STE 102, NORTH LITTLE ROCK, AR - 72116-7615 (mailing address contact number: 501-758-6182).

Location: 2501 Crestwood Rd Ste 102, North Little Rock, AR, 72116-7615
person
Provider Profile Details
NPI Number
1407907165
Provider Name
Peder J Jensen
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2501 Crestwood Rd Ste 102, North Little Rock, AR, 72116-7615
Phone Number
501-758-6182
Fax Number
501-758-6184
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2544 01 AR ARKANSAS DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2501 Crestwood Rd Ste 102
City
State
Zip
72116-7615
Phone Number
501-758-6182
Fax Number
501-758-6184
person
Provider Business Mailing Address Details
Address
2501 Crestwood Rd Ste 102
City
State
Zip
72116-7615
Phone Number
501-758-6182
Fax Number
501-758-6184
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
2544 (Arkansas)
Definition
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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