Provider Demographics
NPI:1922107747
Name:JENSEN, ROBERT ARTHUR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ARTHUR
Last Name:JENSEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 ASPEN AIRPORT BUSINESS CTR STE F
Mailing Address - Street 2:
Mailing Address - City:ASPEN
Mailing Address - State:CO
Mailing Address - Zip Code:81611-3551
Mailing Address - Country:US
Mailing Address - Phone:970-920-4900
Mailing Address - Fax:970-920-1114
Practice Address - Street 1:421 ASPEN AIRPORT BUSINESS CTR STE F
Practice Address - Street 2:
Practice Address - City:ASPEN
Practice Address - State:CO
Practice Address - Zip Code:81611-3551
Practice Address - Country:US
Practice Address - Phone:970-920-4900
Practice Address - Fax:970-920-1114
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6980122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist