Most Relevant Information
Provider Data
| NPI Number: | 1003229618 |
| Provider Name: | NATHAN JOHN JENSEN DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 1001264-15 |
Most Important Dates
| Enumeration Date: | 06/11/2014 |
| Last Updated: | 02/25/2016 |
Provider Practice Location
227 MERIDIAN DR
SUITE 1
NEW RICHMOND
WI
540172565
Practice Location Phone/Fax
| Phone: | 7152462111 |
| Fax: | 7152462579 |
Provider Mailing Location
227 MERIDIAN DR
SUITE 1
NEW RICHMOND
WI
540172565
Provider Mailing Phone/Fax
| Phone: | 7152462111 |
| Fax: | 7152462579 |