Organization
DAVID O. JACOBSON DDS, PC
Active
Other names
Jacobson Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID O JACOBSON DDS (OWNER)
(970) 257-7474
Entity
Organization
Contact information
Practice address
2525 N 8TH ST STE 107, GRAND JUNCTION, CO 81501-8808
(970) 257-7474
(970) 257-7474
Mailing address
2525 N 8TH ST STE 107, GRAND JUNCTION, CO 81501-8808
(970) 257-7474
(970) 257-7481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94536066
—
CO
Enumeration date
11/18/2020
Last updated
11/18/2020
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