Gina Mira Jacobsen is a Dentist in Aurora, Illinois. Gina Mira Jacobsen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gina Mira Jacobsen is 1790982502. The last update date is 2008-07-22.
Gina Mira Jacobsen's current location address is 1940 W Galena Blvd, Aurora, Illinois. You can contact this provider via phone number 6308928933. The mailing address for Gina Mira Jacobsen is 1940 W Galena Blvd, Aurora, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gina Mira Jacobsen |
|---|---|
| Address | 1940 W Galena Blvd, Aurora, Illinois |
| Phone Number | 6308928933 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1790982502 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | 1940 W Galena Blvd |
|---|---|
| City | Aurora |
| State | Illinois (IL) |
| Post Code | 605064319 |
| Phone Number | 6308928933 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 019-027370 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Post Comment/ Review Below
What is the unique identification code assigned to Gina Mira Jacobsen by the Centers for Medicare & Medicaid Services?
The Gina Mira Jacobsen has been issued the NPI (National Provider Identifier) 1790982502. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Gina Mira Jacobsen's facilities are geographically located?
The facilities of Gina Mira Jacobsen are physically situated at the following location: 1940 W Galena Blvd, Aurora, IL, 605064319.
What is Gina Mira Jacobsen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gina Mira Jacobsen is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Gina Mira Jacobsen receive the assignment of its 1790982502 from the Centers for Medicare & Medicaid Services?
The Gina Mira Jacobsen was issued its 1790982502 by the Centers for Medicare & Medicaid Services on 2007-06-27.
As of what date were the Gina Mira Jacobsen's details last updated?
The information pertaining to the Gina Mira Jacobsen, including its address, specialty, and other details, was most recently updated on 2008-07-22.