DR. LAWRENCE T JACOBS (NPI# 1609930270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609930270 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE T JACOBS |
| Credential | D.D.S. |
| Practice Address |
8235 Grand Ave River Grove IL 60171-1539 |
| Practice Telephone | 7084530250 |
| Mailing Telephone | 7084530250 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689703308 | Lawrence L Jacobs | Optometrist | 8677 S. Quebec St Suite A, Highlands Ranch, CO 80130-3052 | 2007-03-06 |
| 1003243338 | Lawrence Jason Jacobs | Military Health Care Provider | 34949 Viscaria Ct, Winchester, CA 92596-8968 | 2013-10-01 |
| 1285748830 | Lawrence A Jacobs | Specialist | 5555 E 71st St Ste 7100, Tulsa, OK 74136-6550 | 2006-08-19 |
| 1841207636 | Lawrence D. Jacobs | Internal Medicine | 2002 Medical Pkwy, Ste 500, Annapolis, MD 21401-3046 | 2006-08-02 |
| 1104810639 | Lawrence J Jacobs | Internal Medicine | 9500 Euclid Ave, Wl20, Cleveland, OH 44195-0001 | 2005-09-12 |
| Street Address |
8235 GRAND AVE |
| City | RIVER GROVE |
| State | IL |
| Zip Code | 60171-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710041249 | Lawrence T Jacobs Dds PC | Dentist | 8235 Grand Ave, River Grove, IL 60171-1539 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023496395 | Danuta B Superson | Massage Therapist | 8364 W Grand Ave, River Grove, IL 60171 | 2015-05-07 |
| 1063890283 | Davina Harris | Massage Therapist | 8364 W. Grand Avenue, River Grove, IL 60171 | 2015-05-07 |
| 1811150410 | Thtacher Woods Associates Ltd | Clinic/Center | 8383 W Belmont Ave, Suite 200, River Grove, IL 60171 | 2008-07-03 |
| 1235327941 | S. David Demorest | Clinic/Center | 8383 Belmont Avenue, River Grove, IL 60171 | 2007-10-09 |
| 1568527661 | River Grove Clinic | Family Medicine | 8383 N Belmont, River Grove, IL 60171 | 2006-12-27 |
| 1972533081 | Village of River Grove | Ambulance | 2601 Thatcher, River Grove, IL 60171 | 2006-07-04 |
| 1831687680 | Matthew L Garstki | Physical Therapist | 8937 Grand Ave, River Grove, IL 60171 | 2018-04-27 |
| 1720509458 | Grant Thomas Miller | Optometrist | 8362 Grand Ave, River Grove, IL 60171 | 2017-07-03 |
| 1386022549 | Izabela S Fratczak | Massage Therapist | 8364 Grand Ave, River Grove, IL 60171 | 2015-05-08 |
| 1568431377 | Michael Dean Dralle | Specialist/Technologist | 8937 Grand Ave, Athletico Sports Medicine and Pt Centers, River Grove, IL 60171 | 2006-03-15 |
| Find all providers in zip 60171 | ||||
| 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 |
|---|---|---|---|---|
| 1285721928 | Frank Siracusa | Dentist | 8225 Grand Ave, River Grove, IL 60171-1517 | 2006-10-06 |
| 1164439907 | Gregory Amadeo Bertagna | Dentist | 8383 Belmont Ave, Suite 200, River Grove, IL 60171-1000 | 2006-08-02 |
| 1093027658 | River Grove Dental Associates LLC | Dentist | 8225 Grand Ave, River Grove, IL 60171-1517 | 2010-07-11 |
| 1366699142 | John A. Marsala D.d.s. ; Ltd | Dentist | 8225 Grand Ave, River Grove, IL 60171-1517 | 2008-08-22 |
| 1710041249 | Lawrence T Jacobs Dds PC | Dentist | 8235 Grand Ave, River Grove, IL 60171-1539 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | RIVER GROVE |
| Zip Code | 60171 |
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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.