Organization
LARRY S. JACOBSON, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY S JACOBSON DDS (PRESIDENT)
(816) 444-7787
Entity
Organization
Contact information
Practice address
6675 HOLMES RD STE 690, KANSAS CITY, MO 64131-1167
(816) 444-7787
(816) 444-1228
Mailing address
6675 HOLMES RD STE 690, KANSAS CITY, MO 64131-1167
(816) 444-7787
(816) 444-1228
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
9994-216
MO
Other
Enumeration date
07/28/2006
Last updated
08/22/2020
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