PEDER JENSEN, DMD, PA
NPI 1063673440
Dentist - Periodontics in North Little Rock, AR

Active since June 19, 2008
2501 CRESTWOOD RD, STE 102, NORTH LITTLE ROCK, AR 72116(501) 758-6182(501) 758-6184 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peder Jensen, Dmd, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDER JENSEN, DMD, PA (NPI 1063673440) is a healthcare organization registered as a periodontics in North Little Rock, Arkansas and active in the NPI registry since June 2008. The organization lists Zelma Seymore, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063673440
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePEDER JENSEN, DMD, PA
Location Address2501 CRESTWOOD RD, STE 102North Little Rock, AR 72116-6864
Mailing Address2501 Crestwood Rd, Ste 102North Little Rock, AR 72116-6864 · (501) 758-6182 · Fax (501) 758-6184
Fax(501) 758-6184
Organization SubpartNo
Authorized OfficialZelma SeymoreOffice Manager · (501) 758-6182
Enumeration DateJune 19, 2008
NPI 1063673440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in AR · 2544
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2501 CRESTWOOD RD, North Little Rock, AR 72116

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
2501 CRESTWOOD RD, SUITE 101
NORTH LITTLE ROCK, AR 72116
Dentist (Oral and Maxillofacial Surgery)
2501 CRESTWOOD RD, STE. 302
NORTH LITTLE ROCK, AR 72116
Dentist
2501 CRESTWOOD RD, SUITE 103
NORTH LITTLE ROCK, AR 72116
Dentist (Orthodontics and Dentofacial Orthopedics)
2501 CRESTWOOD RD, SUITE 303
NORTH LITTLE ROCK, AR 72116
Dentist (General Practice)
2501 CRESTWOOD RD, STE 201
N LITTLE ROCK, AR 72116
Dentist
2501 CRESTWOOD RD, SUITE 202
N LITTLE ROCK, AR 72116
Clinic/Center
2501 CRESTWOOD RD, SUITE 302
NORTH LITTLE ROCK, AR 72116
Prosthetic/Orthotic Supplier
2501 CRESTWOOD RD, SUITE 101
NORTH LITTLE ROCK, AR 72116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peder Jensen, Dmd, PA's NPI number?

The NPI number for Peder Jensen, Dmd, PA is 1063673440. It was assigned to this organization in the NPPES registry on June 19, 2008.

Where is Peder Jensen, Dmd, PA located?

Peder Jensen, Dmd, PA is located at 2501 Crestwood Rd Ste 102, North Little Rock, AR 72116. The listed phone number is (501) 758-6182.

What is Peder Jensen, Dmd, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Peder Jensen, Dmd, PA was last updated on June 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.