Jon Jacobson, II, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901009423 Issued in MI

Legal business name

JON JACOBSON, II, DDS, PC

Practice address

1016 N Michigan Ave
Saginaw, MI 48602-4325

Phone

(989) 754-7500

Fax

(989) 754-7780

NPI assigned

Jul 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jon Matthew Jacobson, D.D.S.

Title

President

Phone

(989) 754-7500

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699797662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024325",
            "telephone_number": "989-754-7500",
            "fax_number": "989-754-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024325",
            "telephone_number": "989-754-7500",
            "fax_number": "989-754-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON JACOBSON, II, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-754-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901009423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "D094230",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1849313",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Johnstone
• Anila Johnykutty
• Purnima Johri, PT
• Vikas Johri, PT
• Preston Joiner, PA-C
• Jonco, Inc. (Hoyt Nursing & Rehab Centre)
• Debbie Lashell Jones-Burt
• Sarah Ellen Jones-Hunt
• Krristen Jones-Isreal
• Kia Shaveen Jones-Mastin, LMSW

• General Practice Dentistry in Saginaw, MI
• Providers in Saginaw, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.