Robert W. Jacobs in Lawrence - Pediatric Dentistry

Robert W. Jacobs - NPI 1053307678

Robert W. Jacobs is a Pediatric Dentistry in Lawrence, Kansas. Robert W. Jacobs practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Robert W. Jacobs is 1053307678. The last update date is 2007-07-08.

Robert W. Jacobs's current location address is 346 Maine St, Lawrence, Kansas. You can contact this provider via phone number 7858429223 and fax number 7858424335. The mailing address for Robert W. Jacobs is 346 Maine St, Lawrence, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert W. Jacobs
Address 346 Maine St, Lawrence, Kansas
Phone Number 7858429223
Fax Number 7858424335
Sole Proprietor X
Credentials D.D.S.

NPI Number Detail

NPI Number 1053307678
Provider Enumeration Date 2005-09-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 346 Maine St
City Lawrence
State Kansas (KS)
Post Code 660441359
Phone Number 7858429223
Fax Number 7858424335

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 4845
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4845 KS DENTAL LICENSE NUMBER

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FAQs about Robert W. Jacobs

What is the unique provider identifier assigned to Robert W. Jacobs?

The Robert W. Jacobs has been issued the NPI (National Provider Identifier) 1053307678 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Robert W. Jacobs is physically located?

The Robert W. Jacobs is situated at the following address: 346 Maine St, Lawrence, KS 660441359.

What is Robert W. Jacobs's specialized field of practice, and what is the corresponding taxonomy classification code?

The Robert W. Jacobs's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services issue the 1053307678 to Robert W. Jacobs?

The Robert W. Jacobs received its 1053307678 assignment from the Centers for Medicare & Medicaid Services on 2005-09-20.

As of what date were the details pertaining to Robert W. Jacobs last refreshed?

The information related to the Robert W. Jacobs, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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