person
Stephen Eric Jacobson, DDSPC
General Practice Dentistry in Walled Lake, Michigan
NPI 1528077435

Stephen Eric Jacobson is a General Practice Dentistry based in Walled Lake, MI and is specialized in General Practice. Stephen Eric Jacobson practices in Walled Lake, MI and has the professional credentials of DDSPC. The NPI Number for Stephen Eric Jacobson is 1528077435 and holds a License No. 14257 (Michigan).

The current practice location address for Stephen Eric Jacobson is 39890 W 14 Mile Rd., Walled Lake, MI and can be reached out via phone at 248-624-8090 and via fax at 248-624-8288.

Location: 39890 W 14 Mile Rd., Walled Lake, MI, 48390-3911
person
Provider Profile Details
NPI Number
1528077435
Provider Name
Stephen Eric Jacobson
Credential
DDSPC
Provider Entity Type
Individual
Gender
Male
Address
39890 W 14 Mile Rd., Walled Lake, MI, 48390-3911
Phone Number
248-624-8090
Fax Number
248-624-8288
Provider Enumeration Date
08/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
723815 01 MI UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
39890 W 14 Mile Rd.
City
State
Zip
48390-3911
Phone Number
248-624-8090
Fax Number
248-624-8288
person
Provider Business Mailing Address Details
Address
39890 W 14 Mile Rd.
City
State
Zip
48390-3911
Phone Number
248-624-8090
Fax Number
248-624-8288
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
14257 (Michigan)
Definition
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.
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