Dr. Brian Clark Jensen , DMD
Dentist - General Practice • Eagle, ID
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Brian Jensen has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Brian Jensen, DMD was a registered Dentist - General Practice practicing in Eagle, ID. Throughout an active medical career spanning 18 years, Dr. Jensen provided care at the practice location at 1177 N EAGLE RD until profile deactivation on 2026-04-30.
Practice Location & Contact Primary Location
1177 N Eagle Rd
Eagle, ID 836165017
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Eagle, ID
Practicing in Eagle, ID (781 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 30, 2026
NPI status registered as active in NPPES database
Registered at 1177 N EAGLE RD, EAGLE, ID 836165017 (Tel: 2089393010)
Registered at 1177 N EAGLE RD, EAGLE, ID 836165017 (Tel: 2089393010)
Recorded as BRIAN JENSEN, D.M.D.
Dentist (License #D-3878 in ID)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1177 N Eagle Rd
Eagle, ID 836165017
Phone: 2089393010
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