Wayne Steven Jacobson in Lisle - General Practice
Wayne Steven Jacobson - NPI 1740409986
Wayne Steven Jacobson is a General Practice in Lisle, Illinois. Wayne Steven Jacobson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Wayne Steven Jacobson is 1740409986. The last update date is 2007-07-08.
Wayne Steven Jacobson's current location address is 1440 Maple Ave, Lisle, Illinois. You can contact this provider via phone number 6309639280. The mailing address for Wayne Steven Jacobson is 1440 Maple Ave, Lisle, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne Steven Jacobson |
|---|---|
| Address | 1440 Maple Ave, Lisle, Illinois |
| Phone Number | 6309639280 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1740409986 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1440 Maple Ave |
|---|---|
| City | Lisle |
| State | Illinois (IL) |
| Post Code | 605324134 |
| Phone Number | 6309639280 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19015131 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Wayne Steven Jacobson's 1740409986?
The Wayne Steven Jacobson's NPI (National Provider Identifier) Number is 1740409986. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Wayne Steven Jacobson is physically located?
The Wayne Steven Jacobson is situated at the following address: 1440 Maple Ave, Lisle, IL 605324134.
What is Wayne Steven Jacobson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wayne Steven Jacobson is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740409986 to Wayne Steven Jacobson?
The Centers for Medicare & Medicaid Services originally issued the 1740409986 to Wayne Steven Jacobson on 2007-04-25.
When was the information related to Wayne Steven Jacobson most recently updated or refreshed?
The details pertaining to the Wayne Steven Jacobson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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