Jacobson Family Dentistry P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10897 Issued in MN

Legal business name

JACOBSON FAMILY DENTISTRY P.C.

Practice address

704 E Howard St
Hibbing, MN 55746-1744

Phone

(218) 161-3730

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Patrecia T. Jacobson, DDSNPI 1790802676

Title

Ceo

Phone

(218) 262-3730

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrecia Taplin Jacobson, DDS

  • General Practice Dentistry
  • Hibbing, MN
  • NPI 1790802676
  NPD (past) Authorized official

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1891948329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 E HOWARD ST",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557461744",
            "telephone_number": "218-161-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 E HOWARD ST",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557461744",
            "telephone_number": "218-161-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBSON FAMILY DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "PATRECIA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-262-3730",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1790802676",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Susan Jacobs, PHARM D
• Heathere Marie Jacobson, PHARMD
• Patrecia Taplin Jacobson, DDS
• Dawn Bremer Jenkins, MSSW LICSW
• John L Bonner Eye Clinic LTD
• Anita K Johnson-Hoehne, CNP

• General Practice Dentistry in Hibbing, MN
• Providers in Hibbing, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.