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Organization
STEPHEN E JACOBSON DDS PC
Active
Organization
STEPHEN E JACOBSON DDS PC
Active
Other names
Jacobson Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN E JACOBSON D.D.S, P.C. (DENTIST)
(248) 624-8090
Entity
Organization
Contact information
Practice address
39890 W 14 MILE RD, COMMERCE TOWNSHIP, MI 48390-3911
(248) 624-8090
(248) 624-8288
Mailing address
39890 W 14 MILE RD, WALLED LAKE, MI 48390-3911
(248) 624-8090
(248) 624-8288
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14257
MI
1223G0001X
General Practice Dentistry
16758
MI
1223G0001X
General Practice Dentistry
18553
MI
1223P0300X
Periodontics
18913
MI
Other
Enumeration date
09/26/2008
Last updated
07/28/2022
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