DR. HENRY CHARLES JENSEN (NPI# 1023410529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023410529 |
| Entity Type | Individual |
| Full Name | DR. HENRY CHARLES JENSEN |
| Practice Address |
570 Riverstone Way Suite 1 Fairbanks AK 99709-2940 |
| Mailing Address |
1547 S Higgins Ave Suite D Missoula MT 59801-4226 |
| Practice Telephone | 9074554350 |
| Mailing Telephone | 4065422742 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2016-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 11581 | MT | Dental Providers |
| N | 122300000X | Dentist | 1583 | AK | Dental Providers |
| Street Address |
570 RIVERSTONE WAY SUITE 1 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-2940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235298134 | Barbara M Keys | Optometrist | 570 Riverstone Way, Ste 3, Fairbanks, AK 99709 | 2006-12-06 |
| 1114534179 | Donna Renee Coben-hall | Massage Therapist | 570 Riverstone Way, Fairbanks, AK 99709-2940 | 2020-09-24 |
| 1073081485 | Tanana Valley Clinic LLC | Clinic/Center | 570 Riverstone Way, Fairbanks, AK 99709-2940 | 2018-11-05 |
| 1073046983 | Karlan Bachmann | Massage Therapist | 570 Riverstone Way, Fairbanks, AK 99709 | 2017-04-07 |
| 1588800817 | Colleen Personett, Od, LLC | Optometrist | 570 Riverstone Way, Suite 3, Fairbanks, AK 99709-2939 | 2008-12-16 |
| 1760653778 | Ruth Nicolas, Od, PC | Optometrist | 570 Riverstone Way, Ste 3, Fairbanks, AK 99709-2939 | 2008-03-18 |
| 1922205061 | Mavencamp Family Eyecare, Inc | Optometrist | 570 Riverstone Way, Suite 3, Fairbanks, AK 99709-2939 | 2007-07-02 |
| 1477686467 | Norman Todd Lovell | Chiropractor | 570 Riverstone Way, Suite #2, Fairbanks, AK 99709-2939 | 2007-03-13 |
| 1760541676 | Michael J Mavencamp | Optometrist | 570 Riverstone Way, Ste 3, Fairbanks, AK 99709 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716574 | Todd Haskin Dmd LLC | Dentist | 360 Old Chena Pump Rd Ste A, Fairbanks, AK 99709-2936 | 2019-12-10 |
| 1336497445 | Shawn Carol Miller | Dentist | 410 Merhar Ave Ste 5, Fairbanks, AK 99701-3166 | 2012-08-21 |
| 1003170291 | Walter John Babula | Dentist | 1919 Lathrop St Ste 102, Fairbanks, AK 99701-5937 | 2012-07-02 |
| 1588965792 | Gentry Toone | Dentist | 3487 Airport Way, Fairbanks, AK 99709-4761 | 2010-11-04 |
| 1205141678 | John Brady | Dentist | 515 7th Ave Ste 220, Fairbanks, AK 99701-4949 | 2010-08-10 |
| 1467763375 | Chad Brigg Neibaur | Dentist | 102 10th Ave, Fairbanks, AK 99701-5003 | 2010-06-24 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1427222405 | Kenneth W Wyman II | Dentist | 1225 Well St, Fairbanks, AK 99701-2836 | 2008-04-21 |
| 1982888251 | Ronald M Teel | Dentist | 1919 Lathrop St Ste 211, Fairbanks, AK 99701-5942 | 2007-12-21 |
| 1427265917 | Michael J. Helmbrecht, D.d.s., P.C. | Dentist | 421 3rd St, Fairbanks, AK 99701-3506 | 2007-05-16 |
| Find all providers in FAIRBANKS | ||||
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| 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.