DR. Jonathan H Jacobs, D.D.S.
NPI #1972563609 in St Clair Shores, Michigan
Provider Information
- NPI Number
- 1972563609
- Entity Type
- Individual
- Name
- DR. Jonathan H Jacobs, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Mar 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 22811 GREATER MACK AVE
- Address 2
- STE. L-10
- City
- St Clair Shores
- State
- Michigan
- ZIP Code
- 48080-2021
- Phone
- (586) 774-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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