Lakeview Dental Center, Sc

NPI #1134285075 in Ashland, Wisconsin

Provider Information

NPI Number: 1134285075
Entity Type: Organization
Organization Name: Lakeview Dental Center, Sc
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 28, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 615 LAKE SHORE DR W
City: Ashland
State: Wisconsin
ZIP Code: 54806-1507
Phone: (715) 682-2811

Authorized Official

Name: DR. BARRY T JACOBS, DDS
Title: PRESIDENT
Phone: (715) 682-2811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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