Wayne S Jacobson DDS LTD

General Practice Dentistry · Lisle, IL

Organization Active NPI

NPI number 1871712984

Practice location

1440 Maple Ave
3a
Lisle, IL 60532-4134
Phone
(630) 963-9280

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NPI record

NPI
1871712984
Entity type
Organization (Type 2)
Enumeration date
April 25, 2007
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 19015131 IL

Authorized official

Name
Dr. Wayne S Jacobson, DDS
Title
President
Phone
(630) 963-9280

About Wayne S Jacobson DDS LTD

Wayne S Jacobson DDS LTD is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1440 Maple Ave, 3a, Lisle, IL 60532-4134. The NPI number 1871712984 was assigned on April 25, 2007 and the record was last updated on August 22, 2020.

Wayne S Jacobson DDS LTD lists a license in the registry: #19015131 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Wayne S Jacobson, DDS, President.

Frequently asked questions

What is the NPI number of Wayne S Jacobson DDS LTD?

The NPI number is 1871712984.

What is the phone number of Wayne S Jacobson DDS LTD?

The phone number listed for the practice location is (630) 963-9280.

Where is Wayne S Jacobson DDS LTD located?

1440 Maple Ave, 3a, Lisle, IL 60532-4134.

What is the taxonomy code for Wayne S Jacobson DDS LTD?

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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