Dr. Philip A. Jensen
Endodontist
4580 Stephens Cir Nw Suite 102
Canton
, Ohio 44718-3644
Dr. Philip A. Jensen
Endodontist
4580 Stephens Cir Nw Suite 102
Canton
, Ohio 44718-3644
(330) 499-1593
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Philip A. Jensen
- 2626 Carrington St Nw
- North Canton, OH
- Zip : 44720-8159
- Phone : (330) 499-1593
Second Address
- Dr. Philip A. Jensen
- 4580 Stephens Cir Nw Suite 102
- Canton, OH
- Zip : 44718-3644
- Phone : (330) 494-6605
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 21989 | OH |
National Provider Identifier
| NPI | 1164436853 |
|---|---|
| Provider Name | Dr. Philip A. Jensen |
| First Address | North Canton, OH 44720-8159 |
| Second Address | Canton, OH 44718-3644 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.