# JACOBSEN & SHAW, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** new32 Aesthetic and Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487914487
- **Authorized official:** DR. ELIZABETH HEADLEY JACOBSEN DDS (GENERAL DENTIST)
- **Authorized official phone:** (206) 381-0732

## Contact information

- **Practice address:** 4915 25TH AVE NE, SUITE 107, SEATTLE, WA 98105-5667
- **Practice address phone:** (206) 381-0732
- **Practice address fax:** (206) 381-0513
- **Mailing address:** 4915 25TH AVE NE, SUITE 107, SEATTLE, WA 98105-5667
- **Mailing address phone:** (206) 381-0732
- **Mailing address fax:** (206) 381-0513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE40021232 | WA | Yes |
| 122300000X | Dentist | DE60035233 | WA | — |

## Other

- **Enumeration date:** 05/23/2012
- **Last updated:** 05/23/2012