Most Relevant Information
Provider Data
| NPI Number: | 1003361346 |
| Provider Name: | JESSICA JENSEN RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | DH.001014148 |
Most Important Dates
| Enumeration Date: | 08/16/2016 |
| Last Updated: | 05/15/2020 |
Provider Practice Location
1735 S PUBLIC RD STE 100
LAFAYETTE
CO
800267093
Practice Location Phone/Fax
| Phone: | 3036653036 |
| Fax: |
Provider Mailing Location
1735 S PUBLIC RD STE 203
LAFAYETTE
CO
800267093
Provider Mailing Phone/Fax
| Phone: | 3036653036 |
| Fax: | 3036653397 |