DR. JEFFREY PHILLIP JACOBSON (NPI# 1598724759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598724759 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY PHILLIP JACOBSON |
| Credential | DDS |
| Practice Address |
508 Fulton St Durham NC 27705-3875 |
| Practice Telephone | 9192866960 |
| Mailing Telephone | 9192866960 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2007-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5001025-015 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770797730 | Jeffrey M Jacobson | Dentist | 33421 Spinnaker Dr N, Dana Point, CA 92629-4434 | 2007-05-09 |
| 1700920741 | Jeffrey Don Jacobson | Dentist | 1024 Colington Rd, Suite 1, Kill Devil Hills, NC 27948-8019 | 2007-02-15 |
| 1609937432 | Jeffrey Randall Jacobson | Internal Medicine | 909 South Wolcott Avenue, 3141 Comrb, Chicago, IL 60612-3725 | 2006-12-13 |
| 1588812820 | Jeffrey Mica Jacobson | Plastic Surgery | 755 North Broadway, Suite 540, Sleepy Hollow, NY 10591-1059 | 2008-08-28 |
| 1841452919 | Jeffrey Eric Jacobson | Psychiatry & Neurology | 640 Jackson St, Saint Paul, MN 55101-2502 | 2008-06-30 |
| 1245441492 | Jeffrey Douglas Jacobson | Pharmacist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2007-05-26 |
| 1861446874 | Jeffrey Michael Jacobson | Radiology | 411 Canisteo St, Hornell, NY 14843-2104 | 2006-05-22 |
| 1689626947 | Jeffrey Lee Jacobson | Optometrist | 1400 Oaklawn Ave, Optometric Providers of Rhode Island, Inc, Cranston, RI 02920-2643 | 2006-05-16 |
| 1104808617 | Jeffrey M Jacobson | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2005-11-18 |
| Street Address |
508 FULTON ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043217086 | Stuart Hall Manning | Internal Medicine | 508 Fulton St, C/o Durham Va Medical Center, Durham, NC 27705-3875 | 2005-07-06 |
| 1245839083 | Jessica Elizabeth Cornett | Recreation Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-22 |
| 1043819808 | Rebecca Parker Maccioli | Recreation Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-22 |
| 1174122055 | Aline Xayasouk | Occupational Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-21 |
| 1730786187 | Kathryn Masincupp | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-07 |
| 1700490349 | Sarah Elizabeth Parker | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2020-09-01 |
| 1144833716 | Phillip Charles Tampis | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-24 |
| 1164033445 | Alexandra Demascole | Social Worker | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-11 |
| 1386254498 | Krishna Rana | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-04 |
| 1730799842 | Jinah Han | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220356 | Anne Kathryn Dorsey | Dentist | 1922 Bivins St, Durham, NC 27707-1402 | 2020-06-22 |
| 1164048625 | Aman Masoomi | Dentist | 1205 Pondfield Way, Durham, NC 27713-7609 | 2020-06-21 |
| 1801417878 | Logan Alexander Eaker | Dentist | 7 Coach Ter, Durham, NC 27713-6094 | 2020-04-30 |
| 1649820093 | Oyegunwa and Associates II, Pllc | Dentist | 3219 Watkins Rd Ste 103, Durham, NC 27707-3331 | 2019-09-18 |
| 1568956084 | Laurent Pilon | Dentist | 2741 Campus Walk Ave Bldg 300, Durham, NC 27705-8878 | 2018-06-18 |
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1083113948 | Deepika Verma Dmd Pllc | Dentist | 2003 E Nc Highway 54 Ste A, Durham, NC 27713-2483 | 2018-02-06 |
| 1447765094 | Alterman Dhillon and Associates | Dentist | 202 W Nc Hwy 54, Suite 201, Durham, NC 27713 | 2017-12-05 |
| 1295196418 | Dr Li Qian Dds Pllc | Dentist | 6104 Fayetteville Rd Ste 106, Durham, NC 27713-6283 | 2016-03-15 |
| 1841688033 | Jonathan Joseph Puza | Dentist | 3608 University Dr Ste 104, Durham, NC 27707-6260 | 2014-12-23 |
| Find all providers in DURHAM | ||||
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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.