| Jonathan H. Jacobs, Dds, Pllc | |
|
24101 Greater Mack Ave Saint Clair Shores MI 48080-1409 | |
| (586) 774-2400 | |
| (586) 774-2461 |
| Full Name | Jonathan H. Jacobs, Dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24101 Greater Mack Ave, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Jonathan H Jacobs (OWNER) |
| Authorized Official Contact | 5867742400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan H. Jacobs, Dds, Pllc 24101 Greater Mack Ave Saint Clair Shores MI 48080-1409 Ph: (586) 774-2400 | Jonathan H. Jacobs, Dds, Pllc 24101 Greater Mack Ave Saint Clair Shores MI 48080-1409 Ph: (586) 774-2400 |
| NPI Number | 1356951156 |
|---|---|
| Provider Enumeration Date | 08/06/2020 |
| Last Update Date | 08/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356951156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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