DR. ALLAN JACOBS (NPI# 1114967296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114967296 |
| Entity Type | Individual |
| Full Name | DR. ALLAN JACOBS |
| Credential | D.D.S. |
| Practice Address |
2335 Pontiac Lake Rd Waterford MI 48328-2761 |
| Practice Telephone | 2486832300 |
| Mailing Telephone | 2486832300 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
10684 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669435962 | Allan Jacobs | Obstetrics & Gynecology | 146-01 45th Ave, Ste 203, Flushing, NY 11355 | 2006-04-08 |
| 1649397068 | Allan Michael Jacobs | Psychiatry & Neurology | 61 S Main St, Suite 305, West Hartford, CT 06107-2486 | 2007-03-22 |
| Street Address |
2335 PONTIAC LAKE RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164401279 | John Patrick Warr | Dentist | 2335 Pontiac Lake Rd, Ste. L, Waterford, MI 48328-2761 | 2006-01-17 |
| 1336522127 | Cara Mccary | Dentist | 2335 Pontiac Lake Rd, Waterford, MI 48328 | 2015-06-30 |
| 1619317880 | Darrin Michael Jones | Dentist | 2335 Pontiac Lake Rd, Waterford, MI 48328-2761 | 2013-07-02 |
| 1386854214 | Daniel J Jenaras | Dentist | 2335 Pontiac Lake Rd, Waterford, MI 48328-2761 | 2007-05-22 |
| 1013052414 | Frank S Jones Jr. | Dentist | 2335 Pontiac Lake Rd, Waterford, MI 48328-2761 | 2007-02-21 |
| 1861546400 | Anthony G Malis | Dentist | 2335 Pontiac Lake Rd, Waterford, MI 48328-2761 | 2007-01-22 |
| 1649210675 | Carl Botvinick | Dentist | 2335 Pontiac Lake Rd, Waterford, MI 48328-2761 | 2006-06-07 |
| 1164479101 | Endodontic Associates | Dentist | 2335 Pontiac Lake Rd, Waterford, MI 48328-2761 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649210675 | Carl Botvinick | Dentist | 2335 Pontiac Lake Rd, Waterford, MI 48328-2761 | 2006-06-07 |
| 1164479101 | Endodontic Associates | Dentist | 2335 Pontiac Lake Rd, Waterford, MI 48328-2761 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
| 1285252874 | Plymouth Endodontics | Dentist | 9416 S Main St Ste 212, Plymouth, MI 48170-4148 | 2020-07-09 |
| 1578192712 | Rabban-acho Dental Pllc | Dentist | 38550 Garfield Rd Ste C, Clinton Township, MI 48038-3406 | 2020-04-08 |
| 1700411378 | Macomb Endodontics | Dentist | 51817 Gratiot Ave, Chesterfield, MI 48051-2014 | 2020-03-04 |
| 1861950701 | Garfield Road Dental- 2 | Dentist | 15401 Dix Toledo Rd, Southgate, MI 48195-2662 | 2019-03-11 |
| 1336654102 | Elite Endodontics | Dentist | 1135 S Lapeer Rd Ste A, Lake Orion, MI 48360-1432 | 2017-12-02 |
| 1255719456 | Norton Shores Dental PC | Dentist | 837 Seminole Rd Ste 100, Norton Shores, MI 49441-6734 | 2015-05-08 |
| 1396186292 | Ryan Brooks Mcmahan | Dentist | 400 W Main St Ste 106, Gaylord, MI 49735-1870 | 2013-07-09 |
| 1124461579 | Sarmad Mazin Alyas | Dentist | 37641 Pembroke Ave, Livonia, MI 48152-1050 | 2013-04-16 |
| 1568704468 | Arnold Harry Gartner | Dentist | 1547 W Long Lake Rd, Bloomfield Hills, MI 48302-1342 | 2013-03-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.