# JACOBSON PAULHAMUS DDS PC

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

## Provider details

- **NPI number:** 1790821171
- **Authorized official:** DR. RONALD SCOTT PAULHAMUS DMD (PRES)
- **Authorized official phone:** (570) 326-5875

## Contact information

- **Practice address:** 611 W EDWIN ST, WILLIAMSPORT, PA 17701
- **Practice address phone:** (570) 326-5875
- **Mailing address:** 611 W EDWIN ST, WILLIAMSPORT, PA 17701
- **Mailing address phone:** (570) 326-5875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS019659L | PA | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 08/22/2020