Individual
DR. DONN R JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
24 MAPLE AVENUE, SUITE 5, ROCKVILLE CENTRE, NY 11570
(516) 536-1700
(516) 536-1823
Mailing address
24 MAPLE AVENUE, SUITE 5, ROCKVILLE CENTRE, NY 11570
(516) 536-1700
(516) 536-1823
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0327741
NY
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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