# DR. PETER JACOBSON AND ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003282179
- **Authorized official:** DR. PETER JACOBSON (OWNER)
- **Authorized official phone:** (814) 445-4661

## Contact information

- **Practice address:** 433 W PATRIOT ST, SOMERSET, PA 15501-1529
- **Practice address phone:** (814) 445-4661
- **Mailing address:** 433 W PATRIOT ST, SOMERSET, PA 15501-1529
- **Mailing address phone:** (814) 445-4661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS022293L | PA | Yes |

## Other

- **Enumeration date:** 08/12/2015
- **Last updated:** 08/12/2015