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Dr. Jonathan H Jacobs, DDS
General Practice Dentistry in St Clair Shores, Michigan
NPI 1972563609

Jonathan H Jacobs is a General Practice Dentistry based in St Clair Shores, MI and is specialized in General Practice. Jonathan H Jacobs practices in St Clair Shores, MI and has the professional credentials of DDS. The NPI Number for Jonathan H Jacobs is 1972563609 and holds a License No. 2901012905 (Michigan).

The current practice location address for Jonathan H Jacobs is 22811 Greater Mack Ave, St Clair Shores, MI and can be reached out via phone at 586-774-2400 and via fax at 586-774-2461.

Location: 22811 Greater Mack Ave, St Clair Shores, MI, 48080-2021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972563609
Provider Name
Jonathan H Jacobs
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
22811 Greater Mack Ave, St Clair Shores, MI, 48080-2021
Phone Number
586-774-2400
Fax Number
586-774-2461
Provider Enumeration Date
03/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
689419 01 MI UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
22811 Greater Mack Ave
City
St Clair Shores
State
Michigan
Zip
48080-2021
Phone Number
586-774-2400
Fax Number
586-774-2461
person
Provider Business Mailing Address Details
Address
22811 Greater Mack Ave
City
St Clair Shores
State
Michigan
Zip
48080-2021
Phone Number
586-774-2400
Fax Number
586-774-2461
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2901012905 (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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