Richard Leslie Jacobson in Pacific Palisades - Orthodontics And Dentofacial Orthopedics
Richard Leslie Jacobson - NPI 1184751125
Richard Leslie Jacobson is a Orthodontics And Dentofacial Orthopedics in Pacific Palisades, California. Richard Leslie Jacobson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Richard Leslie Jacobson is 1184751125. The last update date is 2007-07-08.
Richard Leslie Jacobson's current location address is 881 Alma Real Dr, Pacific Palisades, California. You can contact this provider via phone number 3104540317 and fax number 3104593826. The mailing address for Richard Leslie Jacobson is 881 Alma Real Dr, Pacific Palisades, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Leslie Jacobson |
|---|---|
| Address | 881 Alma Real Dr, Pacific Palisades, California |
| Phone Number | 3104540317 |
| Fax Number | 3104593826 |
| Sole Proprietor | Y |
| Credentials | D.M.D, M.S |
NPI Number Detail
| NPI Number | 1184751125 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 881 Alma Real Dr |
|---|---|
| City | Pacific Palisades |
| State | California (CA) |
| Post Code | 902723731 |
| Phone Number | 3104540317 |
| Fax Number | 3104593826 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | DJ029308 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique 10-digit identifier code assigned to Richard Leslie Jacobson by the Centers for Medicare & Medicaid Services?
The Richard Leslie Jacobson has been issued the NPI (National Provider Identifier) 1184751125 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Richard Leslie Jacobson's facilities are geographically located?
The facilities of Richard Leslie Jacobson are physically situated at the following location: 881 Alma Real Dr, Pacific Palisades, CA, 902723731.
What is Richard Leslie Jacobson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Richard Leslie Jacobson's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the Richard Leslie Jacobson receive its 1184751125 assignment from the Centers for Medicare & Medicaid Services?
The Richard Leslie Jacobson was assigned its 1184751125 by the Centers for Medicare & Medicaid Services on 2007-02-27.
As of what date were the details related to Richard Leslie Jacobson most recently updated or revised?
The information pertaining to Richard Leslie Jacobson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.