DR. RICHARD EDMUND JENSEN


Address: 2460 Finger Rd, Green Bay, WI 54302-4210
Phone: 9204698484

DR. RICHARD EDMUND JENSEN (NPI# 1275741019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275741019
Entity Type Individual
Full Name DR. RICHARD EDMUND JENSEN
Credential D.D.S.
Practice Address 2460 Finger Rd
Green Bay
WI 54302-4210
Practice Telephone 9204698484
Practice Fax Number 9204698486
Mailing Telephone 9204698484
Mailing Fax Number 9204698486
Enumeration Date 2007-05-17
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
2538 WI Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 33421000 05

Other Providers RICHARD JENSEN

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1942234513 Richard Roy Jensen Physical Therapist 3383 Lost Creek Rd, Anaconda, MT 59711 2006-07-10
1083671408 Richard A Jensen Internal Medicine 2333 W 57th St Ste 101, Sioux Falls, SD 57108-5054 2006-04-28
1386940229 Richard Andrew Jensen Counselor 14277 Road 28, Madera, CA 93638-5715 2011-02-09
1801104740 Richard Scott Jensen Chiropractor 237 N Bluff St, Suite A, St George, UT 84770-4543 2010-09-14
1427298975 Richard Clayne Jensen Anesthesiology 707 Sw Washington St, Suite 700, Portland, OR 97205-3536 2009-02-24
1922156496 Richard W Jensen Chiropractor 520 Highway 96 W, Ste 200, Shoreview, MN 55126-1962 2007-01-08
1447313234 Richard A Jensen Optometrist 1100 9th Ave, Ms C4-opt, Seattle, WA 98101-2756 2006-12-19
1811077498 Richard Jensen Podiatrist 701 E El Camino Real, Mountain View, CA 94040-2833 2006-10-17

Office Location

Street Address 2460 FINGER RD
City GREEN BAY
State WI
Zip Code 54302-4210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720198898 Bay Dental Associates of Green Bay, Inc. Dentist 2460 Finger Rd, Green Bay, WI 54302-4210 2006-08-30
1487215422 Matthew Thomas Smilanich Dentist 2460 Finger Rd, Green Bay, WI 54302-4210 2019-06-20
1710416607 Joseph Roznik Dentist 2460 Finger Rd, Green Bay, WI 54302-4210 2017-06-05
1548384548 Thomas John Nockerts Dentist 2460 Finger Rd, Green Bay, WI 54302-4210 2007-03-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659721371 Carissa Marie Sawicki Counselor 1234 Main Street, Suite 21, 3rd Floor, Green Bay, WI 54302 2016-06-14
1891181459 Shannon Rae Mullins Registered Nurse 2254 Imperial Ln, Green Bay, WI 54302 2015-04-10
1346667045 David Howard Jadin Dentist 1245 Main St, Green Bay, WI 54302 2014-03-20
1407003577 Abby Baumgart Counselor 1234-21 Main St, Green Bay, WI 54302 2008-08-20
1447441779 Muller Eyecare Associates Ltd Optometrist 1776 E Mason St, Green Bay, WI 54302 2007-08-01
1851385231 Bornemann Nursing Home Inc Skilled Nursing Facility 226 Bornemann St, Green Bay, WI 54302 2005-08-31
1194188706 Familia Dental Green Bay LLC Dentist 1931 Main St., Green Bay, WI 54302 2016-03-31
1255710125 Kim Lawrence Social Worker 1234 Main St., St 21, 3rd Floor, Green Bay, WI 54302 2015-05-26
1255464533 John Muller Optometrist 1776 E Mason St, Green Bay, WI 54302 2007-03-14
1851622005 Michael Andrew Larkey Social Worker 815 Reber St, Green Bay, WI 54302-1116 2010-01-27
Find all providers in zip 54302

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124670898 Robert H Wagner Family Dentist S.c. Dentist 2830 Curry Court, Suite 1, Green Bay, WI 54311 2019-07-12
1386102465 Parc Village Dental, LLC Dentist 2805 Libal Street, Suite A, Green Bay, WI 54301 2019-03-07
1578052866 Matthew Robert Wagner Dentist 2830 Curry Ln #1, Green Bay, WI 54311 2018-05-02
1588197149 Familia Dental West Green Bay Dentist 2280 W Mason St, Green Bay, WI 54303-4707 2017-04-10
1225489974 Nicholas Van Ess Dentist 1640 Main St Stop 1, Green Bay, WI 54302-2639 2016-06-23
1063822328 Jessica Leigh Pasono Dentist 2609 Development Dr, Green Bay, WI 54311 2014-05-07
1063622645 Echo Ridge Dental Clinic Dentist 2140 S. Ridge Rd., Green Bay, WI 54304 2007-05-23
1710191085 Lisa Rachel Piontek Dentist 526 S Monroe Ave, Green Bay, WI 54301-4018 2007-05-09
1831301290 Family Dental Center of Green Bay, S.c. Dentist 2247 Fox Heights Ln, Green Bay, WI 54304-4747 2007-05-05
1194946079 Kirk Richard Fishbaugh Dentist 2625 Tulip Ln, Green Bay, WI 54313-6855 2007-05-01
Find all providers in GREEN BAY

Competitor

Search similar providers

City GREEN BAY
Zip Code 54302

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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