Steven Robert Jacobsen in White Bear Lake - Periodontics

What is the Steven Robert Jacobsen's unique identification number?

The Steven Robert Jacobsen has been assigned the NPI (National Provider Identifier) Number 1760657795 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Steven Robert Jacobsen's physical address?

The Steven Robert Jacobsen is physically located at 4801 Hwy 61, in the city of White Bear Lake, MN, with the postal code 55110.

What is the area of specialization for Steven Robert Jacobsen, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Steven Robert Jacobsen is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.

On what date did the Steven Robert Jacobsen receive the assignment of its 1760657795 from the Centers for Medicare & Medicaid Services?

The Steven Robert Jacobsen was issued its 1760657795 by the Centers for Medicare & Medicaid Services on 2008-04-30.

When was the information pertaining to Steven Robert Jacobsen most recently updated or revised?

The details related to Steven Robert Jacobsen, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-30.

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