Organization
FAMILY DENTAL CENTER OF LIVONIA, P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FAITH TOBIN JACOBSON DDS (DENTIST)
(734) 427-9300
Entity
Organization
Contact information
Practice address
28701 PLYMOUTH ROAD, LIVONIA, MI 48150-2335
(734) 427-9300
(734) 427-1200
Mailing address
28701 PLYMOUTH ROAD, LIVONIA, MI 48150-2335
(734) 427-9300
(734) 427-1200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901016783
MI
122300000X
Dentist
2901017710
MI
122300000X
Dentist
2901018923
MI
124Q00000X
Dental Hygienist
Primary
2902006805
MI
Other
Enumeration date
09/26/2006
Last updated
09/11/2025
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