Daniel R. Jacobsen, D.M.D.
General Practice Dentistry · Bloomington, IL
Practice location
3220 Gerig DrBloomington, IL 61704-6394
- Phone
- (309) 662-7722
NPI record
- NPI
- 1952688293
- Entity type
- Individual (Type 1)
- Enumeration date
- November 15, 2011
- Last updated
- November 15, 2011
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
019.028635 | IL |
About Dr. Jacobsen
Daniel R. Jacobsen, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3220 Gerig Dr, Bloomington, IL 61704-6394. The NPI number 1952688293 was assigned on November 15, 2011 and the record was last updated on November 15, 2011.
Dr. Jacobsen lists a license in the registry: #019.028635 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Daniel R. Jacobsen, D.M.D.?
The NPI number is 1952688293.
What is the phone number of Dr. Jacobsen?
The phone number listed for the practice location is (309) 662-7722.
Where is Dr. Jacobsen located?
3220 Gerig Dr, Bloomington, IL 61704-6394.
What is the taxonomy code for Dr. Jacobsen?
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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