MEDICARE: JANELLE JEHN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	125J00000X	Dental Therapist	DT38	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003230137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANELLE JEHN

Provider Business Mailing Address
First Line	:	636 BROADWAY ST NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55413-2164
Country	:	US
Telephone Number	:	612-746-1530
Fax Number	:	612-746-1531

Provider Business Practice Location Address
First Line	:	4342 4TH AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55409-2155
Country	:	US
Telephone Number	:	612-822-9030
Fax Number	:	612-821-2818

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2014
Last Update Date	:	01/15/2019

Similar Medicare Providers

1366516171 — MESHBESHER CHIROPRACTIC CENTER PA
Practice Location Address:

2917 BRYANT AVE S
MINNEAPOLIS, MN
55408-2155

Practice Phone: 612-823-5456
Practice Fax:

1891233748 — JENNY MEYERS
Practice Location Address:

4243 4TH AVE S
MINNEAPOLIS, MN
55409-2113

Practice Phone: 612-822-9030
Practice Fax:

1679033252 — SHELI KAYE PARKISON
Practice Location Address:

4243 4TH AVE S
MINNEAPOLIS, MN
55409-2113

Practice Phone: 612-822-9030
Practice Fax:

1093668923 — RUBY FRY
Practice Location Address:

4222 NICOLLET AVE UNIT 404
MINNEAPOLIS, MN
55409-1680

Practice Phone: 507-420-0098
Practice Fax:

1467303974 — NASRI MAKADIN DR
Practice Location Address:

3825 2ND AVE S
MINNEAPOLIS, MN
55409-1306

Practice Phone: 612-860-9403
Practice Fax:

1437000445 — RIGHT PRICE PAINTER LLC
Practice Location Address:

3749 4TH AVE S STE 1
MINNEAPOLIS, MN
55409-1326

Practice Phone: 612-267-5459
Practice Fax:

Directions to “ JANELLE JEHN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.