Healthcare Provider Details

I. General information

NPI: 1205761244
Provider Name (Legal Business Name): JENSEN DENTAL SOLUTIONS & CONSULTING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 S KELLOGG AVE STE 107
AMES IA
50010-8001
US

IV. Provider business mailing address

824 ALLEN ST
BOONE IA
50036-2709
US

V. Phone/Fax

Practice location:
  • Phone: 515-233-3303
  • Fax: 515-232-1256
Mailing address:
  • Phone: 319-541-7741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHANNON CATHERINE JENSEN
Title or Position: PRESIDENT
Credential:
Phone: 319-541-7741