Larry S. Jacobson, Dds, Pc in Kansas City - Periodontics
Larry S. Jacobson, Dds, Pc - NPI 1700890332
Larry S. Jacobson, Dds, Pc is a Periodontics in Kansas City, Missouri. Larry S. Jacobson, Dds, Pc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Larry S. Jacobson, Dds, Pc is 1700890332. The last update date is 2020-08-22.
Larry S. Jacobson, Dds, Pc's current location address is 6675 Holmes Rd Ste 690, Kansas City, Missouri. You can contact this provider via phone number 8164447787 and fax number 8164441228. The mailing address for Larry S. Jacobson, Dds, Pc is 6675 Holmes Rd Ste 690, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Larry S. Jacobson, Dds, Pc |
|---|---|
| Address | 6675 Holmes Rd Ste 690, Kansas City, Missouri |
| Phone Number | 8164447787 |
| Fax Number | 8164441228 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jacobson S Larry |
| Credentials | DDS |
| Telephone Number | 8164447787 |
NPI Number Detail
| NPI Number | 1700890332 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6675 Holmes Rd Ste 690 |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641311167 |
| Phone Number | 8164447787 |
| Fax Number | 8164441228 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 9994-216 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the Larry S. Jacobson, Dds, Pc's unique identification number?
The Larry S. Jacobson, Dds, Pc has been assigned the NPI (National Provider Identifier) Number 1700890332 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Larry S. Jacobson, Dds, Pc located?
The Larry S. Jacobson, Dds, Pc is located at 6675 Holmes Rd Ste 690, Kansas City, MO 641311167.
What is Larry S. Jacobson, Dds, Pc's area of expertise and its corresponding taxonomy classification?
The Larry S. Jacobson, Dds, Pc's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700890332 to Larry S. Jacobson, Dds, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1700890332 to Larry S. Jacobson, Dds, Pc on 2006-07-28.
As of what date was the information pertaining to Larry S. Jacobson, Dds, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Larry S. Jacobson, Dds, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL