Bryan Jacobs, DMD, MS

Prosthodontics · Skokie, IL

Individual Active NPI

NPI number 1386079689

Practice location

4905 Old Orchard Ctr Ste 728
Skokie, IL 60077-4734
Phone
(847) 676-1432

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NPI record

NPI
1386079689
Entity type
Individual (Type 1)
Enumeration date
September 5, 2013
Last updated
September 5, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Prosthodontics Primary 1223P0700X 019.029615 IL
Prosthodontics 1223P0700X 2901020269 MI

Mailing address

345 E Wacker Dr Unit 4112
Chicago, IL 60601-5274
Phone
(734) 276-9804

About Dr. Jacobs

Bryan Jacobs, DMD, MS is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthodontics (code 1223P0700X). The practice location is 4905 Old Orchard Ctr Ste 728, Skokie, IL 60077-4734. The NPI number 1386079689 was assigned on September 5, 2013 and the record was last updated on September 5, 2013.

Dr. Jacobs lists 2 licenses in the registry: #019.029615 (IL) for Prosthodontics; #2901020269 (MI) for Prosthodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bryan Jacobs, DMD, MS?

The NPI number is 1386079689.

What is the phone number of Dr. Jacobs?

The phone number listed for the practice location is (847) 676-1432.

Where is Dr. Jacobs located?

4905 Old Orchard Ctr Ste 728, Skokie, IL 60077-4734.

What is the taxonomy code for Dr. Jacobs?

The primary taxonomy code is 1223P0700X – Prosthodontics; 1 more listed above.

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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