Organization
JON JACOBSON, II, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON MATTHEW JACOBSON D.D.S. (PRESIDENT)
(989) 754-7500
Entity
Organization
Contact information
Practice address
1016 N MICHIGAN AVE, SAGINAW, MI 48602-4325
(989) 754-7500
(989) 754-7780
Mailing address
1016 N MICHIGAN AVE, SAGINAW, MI 48602-4325
(989) 754-7500
(989) 754-7780
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901009423
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1849313
—
MI
01
—
D094230
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/25/2006
Last updated
08/22/2020
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