Ellen Denise Jacobson, DDS

Dentist · Apple Valley, MN

Individual Active NPI

NPI number 1134578826

Practice location

14682 Pennock Avenue South
Apple Valley, MN 55124
Phone
(952) 431-5774
Fax
(952) 431-0862

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NPI record

NPI
1134578826
Entity type
Individual (Type 1)
Enumeration date
June 3, 2016
Last updated
June 3, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D13690 MN

About Dr. Jacobson

Ellen Denise Jacobson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 14682 Pennock Avenue South, Apple Valley, MN 55124. The NPI number 1134578826 was assigned on June 3, 2016 and the record was last updated on June 3, 2016.

Dr. Jacobson lists a license in the registry: #D13690 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ellen Denise Jacobson, DDS?

The NPI number is 1134578826.

What is the phone number of Dr. Jacobson?

The phone number listed for the practice location is (952) 431-5774.

Where is Dr. Jacobson located?

14682 Pennock Avenue South, Apple Valley, MN 55124.

What is the taxonomy code for Dr. Jacobson?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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