Individual
DR. DAVID P JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
870 PALISADE AVE STE 303, TEANECK, NJ 07666-3446
(201) 836-8000
Mailing address
444 E 82ND ST, APT #1-S, NEW YORK, NY 10028-5903
(212) 737-6112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
25088
NJ
1223E0200X
Endodontics
Primary
057585
NY
1223E0200X
Endodontics
06350
NJ
Other
Enumeration date
10/17/2012
Last updated
09/18/2014
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