DR. MARVIN FLETCHER JENSEN M.D.D.D.S. NPI 1578652327

NPI Information

NPI: 1578652327
Provider Name: DR. MARVIN FLETCHER JENSEN, M.D.,D.D.S.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
930 W FOOTHILL BLVD STE C
UPLAND, CA
ZIP 91786
Phone: (909) 931-9571
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DR. Marvin Fletcher Jensen, M.D.,D.D.S. is an oral and maxillofacial surgery dentist in Upland, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Marvin Fletcher Jensen, M.D.,D.D.S. NPI is 1578652327. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

930 W FOOTHILL BLVD STE C
UPLAND, CA
ZIP 91786-756
Phone: (909) 931-9571
Fax: (909) 931-9473

The enumeration date for this NPI number is 10/12/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	24308	CALIFORNIA	Yes

What is NPI?

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This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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