Dale Everett Jacobson in Saint Cloud - Dentist
Dale Everett Jacobson - NPI 1356416135
Dale Everett Jacobson is a Dentist in Saint Cloud, Minnesota. Dale Everett Jacobson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Dale Everett Jacobson is 1356416135. The last update date is 2007-07-08.
Dale Everett Jacobson's current location address is 1411 W Saint Germain St, Saint Cloud, Minnesota. You can contact this provider via phone number 3202532121. The mailing address for Dale Everett Jacobson is 1411 W Saint Germain St, Saint Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Everett Jacobson |
|---|---|
| Address | 1411 W Saint Germain St, Saint Cloud, Minnesota |
| Phone Number | 3202532121 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1356416135 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1411 W Saint Germain St |
|---|---|
| City | Saint Cloud |
| State | Minnesota (MN) |
| Post Code | 563014121 |
| Phone Number | 3202532121 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 7680 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7680 | MN | DENTAL LICENSE NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dale Everett Jacobson?
The Dale Everett Jacobson has been issued the NPI (National Provider Identifier) 1356416135 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Dale Everett Jacobson's facilities are geographically located?
The facilities of Dale Everett Jacobson are physically situated at the following location: 1411 W Saint Germain St, Saint Cloud, MN, 563014121.
What is Dale Everett Jacobson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dale Everett Jacobson is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date was the 1356416135 assigned to Dale Everett Jacobson?
The Dale Everett Jacobson was issued its 1356416135 on 2006-11-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Dale Everett Jacobson's details last updated?
The information pertaining to the Dale Everett Jacobson, including its address, specialty, and other details, was most recently updated on 2007-07-08.