Organization
DAVID JACOBS DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JACOBS DDS (OWNER, DENTIST)
(248) 703-8944
Entity
Organization
Contact information
Practice address
24101 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-1409
(586) 774-2400
Mailing address
24101 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-1409
(586) 774-2400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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