| Wayne S Jacobson Dds Ltd | |
|
1440 Maple Ave 3a Lisle IL 60532-4134 | |
| (630) 963-9280 | |
| Not Available |
| Full Name | Wayne S Jacobson Dds Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1440 Maple Ave, Lisle, Illinois |
| Authorized Official Name and Position | Wayne S Jacobson (PRESIDENT) |
| Authorized Official Contact | 6309639280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne S Jacobson Dds Ltd 1440 Maple Ave 3a Lisle IL 60532-4134 Ph: (630) 963-9280 | Wayne S Jacobson Dds Ltd 1440 Maple Ave 3a Lisle IL 60532-4134 Ph: (630) 963-9280 |
| NPI Number | 1871712984 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871712984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19015131 (Illinois) | Primary |
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