Jacob Soenen

Dentist · Kalkaska, MI

Individual Active NPI

NPI number 1871154104

Practice location

508 N Birch St
Kalkaska, MI 49646-8414
Phone
(231) 258-5395

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NPI record

NPI
1871154104
Entity type
Individual (Type 1)
Enumeration date
June 26, 2019
Last updated
June 26, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2901600122 MI

Mailing address

9590 Fowler Ln NW
Rapid City, MI 49676-9597

About Jacob Soenen

Jacob Soenen is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 508 N Birch St, Kalkaska, MI 49646-8414. The NPI number 1871154104 was assigned on June 26, 2019 and the record was last updated on June 26, 2019.

Jacob Soenen lists a license in the registry: #2901600122 (MI) 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 Jacob Soenen?

The NPI number is 1871154104.

What is the phone number of Jacob Soenen?

The phone number listed for the practice location is (231) 258-5395.

Where is Jacob Soenen located?

508 N Birch St, Kalkaska, MI 49646-8414.

What is the taxonomy code for Jacob Soenen?

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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