DR. SCOTT A JENSEN (NPI# 1710965926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710965926 |
| Entity Type | Individual |
| Full Name | DR. SCOTT A JENSEN |
| Credential | DMD |
| Practice Address |
3001 6th St Dental Directorate Great Lakes IL 60088-2833 |
| Practice Telephone | 8476882100 |
| Mailing Telephone | 8476882100 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588810337 | Scott Jensen | Physical Therapist | 143 Charles Park Dr, Council Bluffs, IA 51503-8411 | 2008-08-12 |
| 1396932224 | Scott A Jensen | Dentist | 25 N 1100 E, American Fork, UT 84003 | 2007-09-25 |
| 1881770089 | Scott Mckenzie Jensen | Dentist | 920 Cherry Street, Greensboro, NC 27401 | 2006-10-31 |
| 1154305662 | Scott M Jensen | Family Medicine | 204 Lewis Ave S Ste 201, Watertown, MN 55388-4502 | 2005-11-30 |
| 1033106497 | Scott Milton Jensen | Family Medicine | 6682 Lower Ridge Dr, Lakeside, AZ 85929-5064 | 2005-09-30 |
| 1023466737 | Scott Call Jensen | Registered Nurse | 4411 E Kings Canyon Rd, Fresno, CA 93702 | 2016-06-03 |
| 1083970099 | Scott V. Jensen | Hospitalist | 190 E Bannock St, 4c116, Boise, ID 83712-6241 | 2012-04-03 |
| 1386975258 | Scott Lane Jensen | Dentist | 15303 Huebner Rd, Bldg. 17, San Antonio, TX 78248-0959 | 2010-01-16 |
| 1487894143 | Scott A Jensen | Psychologist | Department of Psychology, 3601 Pacific Ave., Stockton, CA 95211-0001 | 2009-02-20 |
| 1164620191 | Scott Edmund Jensen | Independent Medical Examiner | Beebe Medical Center, 424 Savannah Rd, Lewes, DE 19958 | 2007-07-11 |
| Street Address |
3001 6TH ST DENTAL DIRECTORATE |
| City | GREAT LAKES |
| State | IL |
| Zip Code | 60088-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184610446 | Myron William Yencha | Otolaryngology | 3001 6th St, Dept Otolaryngology, Naval Hospital, Great Lakes, IL 60088-2833 | 2005-09-22 |
| 1689991507 | Heather Nimmagadda | Nurse Practitioner | 3001 6th St, Great Lakes, IL 60088-2833 | 2010-05-02 |
| 1811178486 | Stephen Schultz | Dentist | 3001 6th St, Great Lakes, IL 60088-2833 | 2007-11-23 |
| 1245434513 | John Dangca Vasquez | Military Health Care Provider | 3001 6th St, Great Lakes, IL 60088 | 2007-06-12 |
| 1396871166 | Michael Philip Fee | Dentist | 3001 6th St, Ste A Naval Health Clinics, Great Lakes, IL 60088-2833 | 2007-02-26 |
| 1184773012 | Orlando Lopez | Physician Assistant | 3001 6th St, Great Lakes, IL 60088-2833 | 2007-01-09 |
| 1013004928 | Karen Leone | General Practice | 3001 6th St, Suite A, Great Lakes, IL 60088-2833 | 2006-10-10 |
| 1144278557 | Marla Crill Heller | Dietitian, Registered | 3001 6th St, A, Great Lakes, IL 60088-2833 | 2006-05-05 |
| 1609832187 | James Allen Westra | Pathology | 3001 6th St, Buiding 200h Laboratory, Great Lakes, IL 60088-2833 | 2006-04-25 |
| 1871559633 | Donald Joseph Bezdek | Dentist | 3001 6th St, Great Lakes, IL 60088-2833 | 2006-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858228 | Kathryn Ann Bird | Dentist | 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 | 2019-12-18 |
| 1740775576 | Jonathan William Criter | Dentist | 3400 Ohio St, Great Lakes, IL 60088 | 2018-06-25 |
| 1134598733 | True Xiong | Dentist | Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 | 2015-09-24 |
| 1447685771 | Lisa Carol Perrone | Dentist | Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 | 2013-09-05 |
| 1437438421 | David Lawrence Green | Dentist | 2410 Samson St., Bldg 237, Great Lakes, IL 60088 | 2011-08-09 |
| 1164730602 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois Street, Great Lakes, IL 60088 | 2010-09-17 |
| 1598073439 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 | 2010-09-14 |
| 1164736302 | Clinton Lariscy | Military Health Care Provider | 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 | 2010-07-29 |
| 1083943906 | James Doll | Dentist | 2608 Paul Jones St, Great Lakes, IL 60088 | 2009-12-24 |
| 1396996823 | Kelly Robert Lanning | Dentist | 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 | 2008-10-02 |
| Find all providers in zip 60088 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366953937 | Kristofer Scott Harris | Dentist | 3440 Ohio St, Great Lakes, IL 60088-3155 | 2017-10-23 |
| 1508844242 | Robert Kurt Frisk | Dentist | 3001 6th St, Nhgl Dental Directorate, Great Lakes, IL 60088-2833 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089777 | Sebastian Przybylo, Dmd, Pllc | Dentist | 350 S Northwest Hwy Ste 116, Park Ridge, IL 60068-4262 | 2020-09-24 |
| 1770126740 | Old Orchard Endodontics | Dentist | 4905 Old Orchard Ctr Ste 216, Skokie, IL 60077-4741 | 2019-10-23 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1134782592 | Endodontics of Springfield | Dentist | 997 Clock Tower Dr Ste C, Springfield, IL 62704-1399 | 2019-04-20 |
| 1942793815 | Millennium Dental Specialist | Dentist | 1624 W Division St Ste B, Chicago, IL 60622-3908 | 2018-06-14 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1518488055 | Seth Thomas Barnett | Dentist | 3601 General Electric Rd Ste 6, Bloomington, IL 61704-8566 | 2017-07-06 |
| 1023562857 | Jwwdental LLC | Dentist | 808 E Woodfield Rd, Suite 300, Schaumburg, IL 60173-4816 | 2016-08-10 |
| 1629453378 | Charles Richard Neach | Dentist | 801 S Paulina St Rm 302a, Chicago, IL 60612-7210 | 2015-07-23 |
| 1619360096 | Rajan Sharma | Dentist | 6319 Fairview Ave Ste 103, Westmont, IL 60559-2889 | 2015-03-10 |
| Find all providers with the same taxonomy | ||||
| City | GREAT LAKES |
| Zip Code | 60088 |
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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.