DAVID SCOTT JACOBSON (NPI# 1386924785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386924785 |
| Entity Type | Individual |
| Full Name | DAVID SCOTT JACOBSON |
| Credential | DDS |
| Practice Address |
701 25th Ave S Ste 400 Minneapolis MN 55454 |
| Mailing Address |
701 25th Ave S Ste 400 Minneapolis MN 55454-1443 |
| Practice Telephone | 7022902054 |
| Mailing Telephone | 7022902054 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2018-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
R718 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821405093 | David Jacobson | Occupational Therapy Assistant | 1605 Anderson St Apt A, College Station, TX 77840-4464 | 2014-07-18 |
| 1407109382 | David P Jacobson | Dentist | 870 Palisade Ave Ste 303, Teaneck, NJ 07666-3446 | 2012-10-17 |
| 1114215159 | David M Jacobson | Social Worker | 2701 S 77 Sunshinestrip, Harlingen, TX 78550-8318 | 2011-07-12 |
| 1538278031 | David Scott Jacobson | Dentist | 125 Shops Way, Biddeford, ME 04005-9436 | 2006-08-29 |
| 1760926299 | David James Jacobson | Counselor | 4795 Opal Cliff Dr, Santa Cruz, CA 95062-5229 | 2016-12-19 |
| 1043650153 | David Thompson Jacobson | Pharmacist | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2013-07-03 |
| 1194000232 | David Richard Jacobson | Pharmacist | 2700 New Pinery Rd, Portage, WI 53901-9221 | 2011-10-20 |
| 1306154703 | David M Jacobson | Family Medicine | 1600 North Main, Lovington, NM 88260-2830 | 2010-09-20 |
| 1689823775 | David Jacobson | Counselor | 1236 Chapala St, Santa Barbara, CA 93101-3116 | 2008-09-12 |
| 1255532974 | David Brian Jacobson | Dentist | 1 W 34th St, Suite 1204, New York, NY 10001-3011 | 2007-05-30 |
| Street Address |
701 25TH AVE S STE 400 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790870392 | Ronald Anthony Curran | Dentist | 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 | 2006-10-03 |
| 1720696198 | Sederic Grant | Dentist | 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 | 2020-07-21 |
| 1811512999 | Bryan Nikkilas Henrie | Dentist | 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 | 2020-06-14 |
| 1285287409 | Megan Lynn Weber | Dentist | 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 | 2019-07-17 |
| 1093277592 | Quentin Knutson | Student in an Organized Health Care Education/Training Program | 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 | 2019-04-03 |
| 1861927675 | Devin Morin | Student in an Organized Health Care Education/Training Program | 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 | 2017-04-30 |
| 1285011965 | Stephen Edmund Solie | Student in an Organized Health Care Education/Training Program | 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 | 2015-05-01 |
| 1093121626 | Taekhyun Rhee | Student in an Organized Health Care Education/Training Program | 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 | 2014-07-02 |
| 1699049627 | Cory Peterson | Dentist | 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 | 2012-03-08 |
| 1699903609 | Helen H.y. Ching | Dentist | 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 | 2009-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962581520 | Thomas Myron Beckman | Dentist | 515 Delaware Street S.e., 6-150 Moos Tower - University of Minnesota, Minneapolis, MN 55455 | 2006-11-03 |
| 1790870392 | Ronald Anthony Curran | Dentist | 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 | 2006-10-03 |
| 1720696198 | Sederic Grant | Dentist | 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 | 2020-07-21 |
| 1811512999 | Bryan Nikkilas Henrie | Dentist | 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 | 2020-06-14 |
| 1215317730 | Emma Zimmerman | Dentist | 701 25th Ave S, Suite 400, Minneapolis, MN 55454-1513 | 2015-06-01 |
| 1558772863 | James Lipon | Dentist | 701 Park Ave, Minneapolis, MN 55415 | 2014-05-08 |
| 1730442120 | Elise Watson Sarvas | Dentist | 515 Delaware St Se, Office 6-150d, Minneapolis, MN 55455-0357 | 2012-06-20 |
| 1013275049 | Julio Sotillo Rodriguez | Dentist | 701 25th Ave S, Suite 400, Minneapolis, MN 55454-1513 | 2012-04-27 |
| 1831492511 | Darren Isfeld | Dentist | 515 Delaware St Se, 615 Moos Tower, Minneapolis, MN 55455-0357 | 2010-12-17 |
| 1417191842 | Carmen B Lammeier | Dentist | 701 25th Ave S, Suite 400, Minneapolis, MN 55454-1513 | 2009-04-29 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55454 |
Please comment or provide details below to improve the information on DAVID SCOTT JACOBSON.
| 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.