Jonathan H. Jacobs, D.D.S.

General Practice Dentistry · St Clair Shores, MI

Individual Active NPI

NPI number 1972563609

Practice location

22811 Greater Mack Ave
Ste. L-10
St Clair Shores, MI 48080-2021
Phone
(586) 774-2400
Fax
(586) 774-2461

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NPI record

NPI
1972563609
Entity type
Individual (Type 1)
Enumeration date
March 25, 2006
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901012905 MI

About Dr. Jacobs

Jonathan H. Jacobs, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 22811 Greater Mack Ave, Ste. L-10, St Clair Shores, MI 48080-2021. The NPI number 1972563609 was assigned on March 25, 2006 and the record was last updated on July 13, 2026.

Dr. Jacobs lists a license in the registry: #2901012905 (MI) 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 Jonathan H. Jacobs, D.D.S.?

The NPI number is 1972563609.

What is the phone number of Dr. Jacobs?

The phone number listed for the practice location is (586) 774-2400.

Where is Dr. Jacobs located?

22811 Greater Mack Ave, Ste. L-10, St Clair Shores, MI 48080-2021.

What is the taxonomy code for Dr. Jacobs?

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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