Individual
DR. SARAH ANN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2525 W ILES AVE, SPRINGFIELD, IL 62704-4283
(217) 299-0249
Mailing address
5316 BUNTING RD, SPRINGFIELD, IL 62711-6293
(217) 299-0249
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.027986
IL
122300000X
Dentist
6406-015
WI
Other
Enumeration date
06/24/2009
Last updated
04/02/2013
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