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Deactivated NPI 1689722126 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Edward Jensen , DDS

Dentist • Slidell, LA

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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. Mark Jensen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 08, 2007
NPI Deactivation Date August 26, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Jensen, DDS was a registered Dentist practicing in Slidell, LA. Throughout an active medical career spanning 12 years, Dr. Jensen provided care at the practice location at 1301 EASTLAND until profile deactivation on 2019-08-26.

Practice Location & Contact Primary Location

Practice Address

1301 Eastland

Slidell, LA 70458

Telephone 2282552543
Associated Practice Facility / Clinic
🏢 Duncan F Matheson Iii Dds Pa Facility NPI 1912838764

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Slidell, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
30 Specialists

Practicing in Slidell, LA (964 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License LA 5989

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1073729307

Doctor of Dental Surgery

Dr. Duncan Matheson , DDS

Dentist - General Practice

NPI 1851413025

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
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NPI Profile Deactivated August 26, 2019

Record deactivated on August 26, 2019

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Dentist (License #5989 in LA)

NPI Profile Active November 15, 2017

NPI status registered as active in NPPES database

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Updated Practice Location November 15, 2017

Registered at 6032 U S HIGHWAY 98, HATTIESBURG, MS 394028861 (Tel: 6012640333)

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Updated Business Mailing Address November 15, 2017

Registered at 838 MAUNALANI PL, DIAMONDHEAD, MS 395254271 (Tel: 2283631047)

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Provider Name / Credentials Updated November 15, 2017

Recorded as MARK JENSEN, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2017

Dentist (License #3345-05 in MS)

NPI Profile Active June 24, 2009

NPI status registered as active in NPPES database

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Updated Practice Location June 24, 2009

Registered at 1301 EASTLAND, SLIDELL, LA 70458 (Tel: 2282552543)

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Updated Business Mailing Address June 24, 2009

Registered at 1301 EASTRIDGE DR, LOUISIANA DENTAL CENTER, SLIDELL, LA 704583026 (Tel: 2282557791)

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Provider Name / Credentials Updated June 24, 2009

Recorded as MARK JENSEN, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2009

Dentist (License #5989 in LA)

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Initial NPI Registration & Enumeration January 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689722126
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2007
Last Update: June 24, 2009
Deactivation Date: August 26, 2019

Mailing Address

1301 Eastridge Dr, Louisiana Dental Center

Slidell, LA 704583026

Phone: 2282557791

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.