Individual
DR. DAVID SCOTT JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
125 SHOPS WAY, BIDDEFORD, ME 04005-9436
(201) 282-1229
Mailing address
125 SHOPS WAY, ASPEN DENTAL, BIDDEFORD, ME 04005
(201) 282-1229
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2053
VT
Other
Enumeration date
08/29/2006
Last updated
11/05/2007
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