Organization
ROBERT W. JACOBS, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W. JACOBS D.D.S. (PRESIDENT)
(785) 842-9223
Entity
Organization
Contact information
Practice address
346 MAINE ST, LAWRENCE, KS 66044-1359
(785) 842-9223
(784) 842-4335
Mailing address
346 MAINE ST, LAWRENCE, KS 66044-1359
(785) 842-9223
(784) 842-4335
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4845
KS
Other
Enumeration date
09/18/2005
Last updated
08/22/2020
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