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DAVID JACOBSON DDS NPI 1508984576


NPI Information

NPI: 1508984576
Provider Name: DAVID JACOBSON, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109
Phone: (734) 763-1379
Get Directions

David Jacobson, DDS is a general practice dentist in Ann Arbor, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. David Jacobson, DDS NPI is 1508984576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1011 N UNIVERSITY AVE
ANN ARBOR, MI
ZIP 48109-078
Phone: (734) 763-1379
Fax: (734) 647-4024

The enumeration date for this NPI number is 3/27/2007 and was last updated on 6/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist2901015040MICHIGANNo
21223G0001XDentistGeneral Practice2901015040MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12667814MEDICAIDOHIO
20P16890002MEDICARE PINMICHIGAN
3D015040OTHERMICHIGANBCBS OF MI DENTAL
4V05145MEDICARE UPINMICHIGAN
5195816277OTHERMICHIGANBCBS OF MI MED SURGICAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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