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General NPI Number Information
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NPI Number | 1457209207
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Entity Type | Organization
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Legal Business Name | JANSSEN DENTAL
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 3701 ENSIGN RD NE STE A
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City | OLYMPIA
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State | WA
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Zip | 98506-5039
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Country | US
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Telephone | 360-438-2735
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Fax | 360-493-2319
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Provider Business Mailing Address
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Address Line | 3701 ENSIGN RD NE STE A
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City | OLYMPIA
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State | WA
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Zip | 98506-5039
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Country | US
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Telephone | 360-438-2735
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Fax | 360-493-2319
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Authorized Official
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Title or Position | DOCTOR/ OWNER
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Name | DR. INGRID R JANSSEN
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Credential | DDS
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Telephone | 360-438-2735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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