Lawrence T Jacobs DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LAWRENCE T JACOBS DDS PC

Practice address

8235 Grand Ave
River Grove, IL 60171-1539

Phone

(708) 453-0250

NPI assigned

Dec 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence T Jacobs, DDSNPI 1609930270

Title

President Owner

Phone

(708) 453-0250

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence T Jacobs, D.D.S.

  • General Practice Dentistry
  • River Grove, IL
  • NPI 1609930270
  NPD (past) Authorized official

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710041249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 GRAND AVE",
            "city": "RIVER GROVE",
            "state": "IL",
            "postal_code": "601711539",
            "telephone_number": "708-453-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 GRAND AVE",
            "city": "RIVER GROVE",
            "state": "IL",
            "postal_code": "601711539",
            "telephone_number": "708-453-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE T JACOBS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "708-453-0250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence T Jacobs, D.D.S.
• John a. Marsala D.D.S. ; LTD
• Rachel Kramer, LCSW
• Sydney Lee Kurtz
• Alison Laton, RDN
• Niema Monae Malone, RN
• Nada Marei
• Dana Jamison McCoy, M.A., CCC-SLP
• Grant Thomas Miller, OD
• Nicholas Milosch, PT, DPT

• General Practice Dentistry in River Grove, IL
• Providers in River Grove, IL by specialty
• General Practice Dentistry in Illinois

• 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.