| Irving W. Jacobson Dmd Pc | |
|
1916 Welsh Rd Philadelphia PA 19115-4655 | |
| (215) 676-2311 | |
| (215) 676-7193 |
| Full Name | Irving W. Jacobson Dmd Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1916 Welsh Rd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Irving Jacobson (PRES. OWNER) |
| Authorized Official Contact | 2156762311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irving W. Jacobson Dmd Pc 1916 Welsh Rd Philadelphia PA 19115-4655 Ph: (215) 676-2311 | Irving W. Jacobson Dmd Pc 1916 Welsh Rd Philadelphia PA 19115-4655 Ph: (215) 676-2311 |
| NPI Number | 1316972839 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316972839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DS-018061-L (Pennsylvania) | Primary |
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