# JONATHAN H. JACOBS, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jonathan H. Jacobs, DDS, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356951156
- **Authorized official:** DR. JONATHAN H JACOBS DDS (OWNER)
- **Authorized official phone:** (586) 774-2400

## Contact information

- **Practice address:** 24101 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-1409
- **Practice address phone:** (586) 774-2400
- **Practice address fax:** (586) 774-2461
- **Mailing address:** 24101 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-1409
- **Mailing address phone:** (586) 774-2400
- **Mailing address fax:** (586) 774-2461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2020
- **Last updated:** 08/06/2020