Mark William Jacob, DDS

General Practice Dentistry · Northbrook, IL

Individual Active NPI

NPI number 1275659955

Practice location

4119 Dundee Rd
Northbrook, IL 60062-2129
Phone
(847) 564-2180
Fax
(847) 564-2466

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NPI record

NPI
1275659955
Entity type
Individual (Type 1)
Enumeration date
March 22, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — IL

About Dr. Jacob

Mark William Jacob, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4119 Dundee Rd, Northbrook, IL 60062-2129. The NPI number 1275659955 was assigned on March 22, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Mark William Jacob, DDS?

The NPI number is 1275659955.

What is the phone number of Dr. Jacob?

The phone number listed for the practice location is (847) 564-2180.

Where is Dr. Jacob located?

4119 Dundee Rd, Northbrook, IL 60062-2129.

What is the taxonomy code for Dr. Jacob?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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