Provider Demographics
NPI:1598906786
Name:NARR, JENNIFER ANDRESEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ANDRESEN
Last Name:NARR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 448
Mailing Address - Street 2:26273 2ND ST E SUITE A
Mailing Address - City:ZIMMERMAN
Mailing Address - State:MN
Mailing Address - Zip Code:55398-0448
Mailing Address - Country:US
Mailing Address - Phone:763-856-5100
Mailing Address - Fax:763-856-0366
Practice Address - Street 1:26273 2ND ST E
Practice Address - Street 2:SUITE A
Practice Address - City:ZIMMERMAN
Practice Address - State:MN
Practice Address - Zip Code:55398-4743
Practice Address - Country:US
Practice Address - Phone:763-856-5100
Practice Address - Fax:763-856-0366
Is Sole Proprietor?:No
Enumeration Date:2009-03-17
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND112381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice