# JON JACOBSON, II, DDS, PC

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

## Provider details

- **NPI number:** 1699797662
- **Authorized official:** DR. JON MATTHEW JACOBSON D.D.S. (PRESIDENT)
- **Authorized official phone:** (989) 754-7500

## Contact information

- **Practice address:** 1016 N MICHIGAN AVE, SAGINAW, MI 48602-4325
- **Practice address phone:** (989) 754-7500
- **Practice address fax:** (989) 754-7780
- **Mailing address:** 1016 N MICHIGAN AVE, SAGINAW, MI 48602-4325
- **Mailing address phone:** (989) 754-7500
- **Mailing address fax:** (989) 754-7780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901009423 | MI | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1849313 | — | MI |
| 01 | — | D094230 | BLUE CROSS BLUE SHIELD | MI |