Lawrence T Jacobs DDS PC
Organization Active NPI General Practice Dentistry · River Grove, IL
NPI 1710041249 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1710041249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Lawrence T Jacobs, DDS
- Title
- President Owner
- Phone
- (708) 453-0250
Practitioners 1
-
Lawrence T Jacobs, D.D.S.
National Provider Directory
Locations
8235 Grand Ave
River Grove, IL 60171
Phone (708) 453-0250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | IL | Yes |
Addresses
Primary practice location
8235 Grand Ave
River Grove, IL 60171-1539
Mailing address
8235 Grand Ave
River Grove, IL 60171-1539
Phone (708) 453-0250
Other providers in River Grove, IL
- Andrea Evelyn Hinojosa
- Lawrence T Jacobs
- John a. Marsala D.D.S. ; LTD
- Sydney Lee Kurtz
- Alison Laton
- Nada Marei
- Dana Jamison McCoy
- Grant Thomas Miller
- Nicholas Milosch
- Nataliya Mostovyy
All providers in River Grove, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.