# COLUMBUS ENDODONTICS

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

## Provider details

- **NPI number:** 1720746357
- **Authorized official:** DR. JORDON C JACOBS DDS, MSD (DENTIST)
- **Authorized official phone:** (812) 361-4051

## Contact information

- **Practice address:** 3200 MIDDLE RD, COLUMBUS, IN 47203-4426
- **Practice address phone:** (812) 372-3636
- **Mailing address:** 5990 HOLLOW CT, BARGERSVILLE, IN 46106-8503
- **Mailing address phone:** (812) 361-4051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2021
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12012180A | DENTAL LICENSE | IN |