Matthew Jacobsen in South Portland - Oral And Maxillofacial Surgery
Matthew Jacobsen - NPI 1568453108
Matthew Jacobsen is a Oral And Maxillofacial Surgery in South Portland, Maine. Matthew Jacobsen practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Matthew Jacobsen is 1568453108. The last update date is 2015-07-02.
Matthew Jacobsen's current location address is 20 Long Creek Drive, South Portland, Maine. You can contact this provider via phone number 2077723027 and fax number 2077728641. The mailing address for Matthew Jacobsen is 20 Long Creek Drive, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Jacobsen |
|---|---|
| Address | 20 Long Creek Drive, South Portland, Maine |
| Phone Number | 2077723027 |
| Fax Number | 2077728641 |
| Sole Proprietor | N |
| Credentials | DMD, MD |
NPI Number Detail
| NPI Number | 1568453108 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2015-07-02 |
Provider Mailing Address Detail
| Address | 20 Long Creek Drive |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 4106 |
| Phone Number | 2077723027 |
| Fax Number | 2077728641 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 4167 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Matthew Jacobsen by the Centers for Medicare & Medicaid Services?
The Matthew Jacobsen has been issued the NPI (National Provider Identifier) 1568453108, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Matthew Jacobsen's facilities are geographically located?
The facilities of Matthew Jacobsen are physically situated at the following location: 20 Long Creek Drive, South Portland, ME, 4106.
What is Matthew Jacobsen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Matthew Jacobsen's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did Matthew Jacobsen receive its 1568453108 assignment from the Centers for Medicare & Medicaid Services?
The Matthew Jacobsen was assigned its 1568453108 on 2005-11-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Matthew Jacobsen most recently updated?
The details pertaining to the Matthew Jacobsen, including its address, specialty, and other relevant information, were last refreshed on 2015-07-02.