Individual
DR. CASEY JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6360 US HIGHWAY 93 S, WHITEFISH, MT 59937-8235
(406) 862-7895
Mailing address
400 12TH AVE WEST, COLUMBIA FALLS, MT 59912
(406) 892-2104
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16442
MT
122300000X
Dentist
DE60732567
WA
122300000X
Dentist
DR60651464
WA
Other
Enumeration date
03/02/2016
Last updated
04/14/2025
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