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SCOTT M JENSEN DMD PA
NPI 1801101803
Dentist - Oral and Maxillofacial Surgery in Greensboro, NC

Active since August 13, 2010CLIA 34D1103876 · Waiver
920 CHERRY ST, GREENSBORO, NC 27401(336) 379-1500(336) 379-8585 Get Directions Write a Review

NPPES record last updated: June 27, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Scott M Jensen Dmd Pa NPPES

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

SCOTT M JENSEN DMD PA (NPI 1801101803) is a healthcare organization registered as an oral and maxillofacial surgery in Greensboro, North Carolina and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through August 19, 2027 and lists Scott M Jensen, Owner, as its authorized official.

NPPES Registry Identity

NPI1801101803
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSCOTT M JENSEN DMD PA
Location Address920 CHERRY STGreensboro, NC 27401-1422
Mailing Address920 Cherry StreetGreensboro, NC 27401 · (336) 379-1500 · Fax (336) 379-8585
Phone(336) 379-1500
Fax(336) 379-8585
Organization SubpartNo
Authorized OfficialScott M JensenOwner · (336) 379-1500
Enumeration DateAugust 13, 2010
Last NPPES UpdateJune 27, 2011
✔ NPI 1801101803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NC · 5555
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
920 CHERRY ST, Greensboro, NC 27401
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Other Identifiers 4

Medicare UPINT86104NC
Other2414647ANC · Medicare
Medicaid8994548NC
Medicare PIN2414647ANC

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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D1103876

Scott M Jensen, Dmd, PA · Greensboro, NC
Active · expires Aug 19, 2027
CLIA Number34D1103876
Laboratory TypeOther
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorScott M. Jenson
Laboratory Phone(336) 379-1500
Laboratory LocationScott M Jensen, Dmd, PA920 Cherry Street, Greensboro, NC 27401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Scott M Jensen Dmd PA's NPI number?

The NPI number for Scott M Jensen Dmd PA is 1801101803. It was assigned to this organization in the NPPES registry on August 13, 2010.

Where is Scott M Jensen Dmd PA located?

Scott M Jensen Dmd PA is located at 920 Cherry St, Greensboro, NC 27401. The listed phone number is (336) 379-1500.

What is Scott M Jensen Dmd PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Does Scott M Jensen Dmd PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1103876) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Scott M Jensen Dmd PA was last updated on June 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.