Irving Warren Jacobson in Philadelphia - Pediatric Dentistry
Irving Warren Jacobson - NPI 1245298363
Irving Warren Jacobson is a Pediatric Dentistry in Philadelphia, Pennsylvania. Irving Warren Jacobson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Irving Warren Jacobson is 1245298363. The last update date is 2007-07-08.
Irving Warren Jacobson's current location address is 1916 Welsh Rd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156762311 and fax number 2156767193. The mailing address for Irving Warren Jacobson is 1916 Welsh Rd, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Irving Warren Jacobson |
|---|---|
| Address | 1916 Welsh Rd, Philadelphia, Pennsylvania |
| Phone Number | 2156762311 |
| Fax Number | 2156767193 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1245298363 |
|---|---|
| Provider Enumeration Date | 2006-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1916 Welsh Rd |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191154655 |
| Phone Number | 2156762311 |
| Fax Number | 2156767193 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DS-018061-L |
|
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. |
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What is the Irving Warren Jacobson's 1245298363?
The Irving Warren Jacobson's NPI (National Provider Identifier) Number is 1245298363. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Irving Warren Jacobson located?
The Irving Warren Jacobson is located at 1916 Welsh Rd, Philadelphia, PA 191154655.
What is the Irving Warren Jacobson's specialty and taxonomy code?
The Irving Warren Jacobson's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
When was the Irving Warren Jacobson's 1245298363 issued?
The Irving Warren Jacobson's 1245298363 was issued on 2006-05-01.
When was the information pertaining to Irving Warren Jacobson most recently updated or revised?
The details related to Irving Warren Jacobson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.