JACQUELINE JACOBSON DMD PC (NPI# 1639189640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639189640 |
| Entity Type | Organization |
| Organization Name | JACQUELINE JACOBSON DMD PC |
| Other Organization Name | DR JACQUELINE JACOBSON DMD |
| Practice Address |
126 Union St Marlborough MA 01752 |
| Mailing Address |
Po Box 419 126 Union St Marlborough MA 01752-0419 |
| Practice Telephone | 5087870070 |
| Practice Fax Number | 5087870071 |
| Mailing Telephone | 5087870070 |
| Mailing Fax Number | 5087870071 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JACQUELINE Y JACOBSON (PRESIDENT) |
| Authorized Official Telephone | 5087870070 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
18875 | MA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dr Jacqueline Jacobson DMD | Doing Business As Name - Organization |
| Street Address |
126 UNION ST |
| City | MARLBOROUGH |
| State | MA |
| Zip Code | 01752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482795 | Marlborough Dental Partners PC | Dentist | 126 Union St, Marlborough, MA 01752-1207 | 2020-06-23 |
| 1659779288 | Commonwealth Medical Associates, PC | Internal Medicine | 126 Union St, Suite #1, Marlborough, MA 01752-1207 | 2014-12-14 |
| 1457796484 | Tony Haoyu Tong | Dentist | 126 Union St, Suite 3, Marlborough, MA 01752-1207 | 2013-05-03 |
| 1720334956 | Janaki Vimlesh Shukla | Dentist | 126 Union St, Marlborough, MA 01752-1207 | 2012-07-25 |
| 1043489255 | Thomas Ollerhead, Dmd, Cags, P.C. | Dentist | 126 Union St, 6, Marlborough, MA 01752-1207 | 2008-02-22 |
| 1154467967 | Roberto Silva Carvalho | Dentist | 126 Union St, Marlborough, MA 01752-1207 | 2007-01-29 |
| 1043314420 | Jason J Chen | Dentist | 126 Union St, Suite 3, Marlborough, MA 01752-1207 | 2006-09-07 |
| 1871552836 | Donna L Gerry | Nurse Practitioner | 126 Union St, Marlborough, MA 01752-1207 | 2006-03-20 |
| 1134128218 | Thomas G Gelsinon | Oral & Maxillofacial Surgery | 126 Union St, Marlborough, MA 01752-1207 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597883 | Tiffany Marie Stewart | Behavior Technician | 255 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-10-29 |
| 1235754664 | Jessica Michelle Rudolph | Behavior Technician | 22 Cedar Hill Street, Suite 200, Marlborough, MA 01752 | 2020-06-11 |
| 1619501012 | Kady Potter | Behavioral Analyst | 225 Cedar Hill Street, Marlborough, MA 01752 | 2020-02-25 |
| 1639701113 | Cheyenne-lynn Charnik | Behavior Technician | 255 Cedar Hill St, Suite 200, Marlborough, MA 01752 | 2020-02-12 |
| 1063042711 | Nichole Lowder | Behavioral Analyst | 22 5 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-01-22 |
| 1164068649 | Ludiana Andrade | Behavioral Analyst | 225 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2019-11-20 |
| 1215583646 | Olivia Setzer | Behavior Technician | 225 Cedar Street, Suite 200, Marlborough, MA 01752 | 2019-08-12 |
| 1306490867 | Rachael Lee Pennachi | Behavior Technician | 225 Cedar Hill Street Ste 200, Marlborough, MA 01752 | 2019-08-01 |
| 1962964130 | Hero Therapy LLC | Behavioral Analyst | 11 Apex Dr Ste 300a, Marlborough, MA 01752 | 2019-04-04 |
| 1780190728 | Rachel Castleberry | Counselor | Advocates, 340 Maple Street 4th Floor, Marlborough, MA 01752 | 2017-12-28 |
| Find all providers in zip 01752 | ||||
| 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 |
|---|---|---|---|---|
| 1912238379 | Marlborough Family Dental, LLC | Dentist | 222 E Boston Post Road, Post Road Plaza, Marlborough, MA 01752 | 2010-01-26 |
| 1043489255 | Thomas Ollerhead, Dmd, Cags, P.C. | Dentist | 126 Union St, 6, Marlborough, MA 01752-1207 | 2008-02-22 |
| 1104949361 | Endodontic Associates, Inc. | Dentist | 201 Boston Post Rd W, Suite 409, Marlborough, MA 01752-4667 | 2007-04-10 |
| 1710100615 | Assabet Dental Group, P.C. | Dentist | 120 W Main St, Marlborough, MA 01752-5516 | 2007-04-10 |
| 1407978208 | Jasna Kun | Dentist | 201 Boston Post Rd W, Suite 409, Marlborough, MA 01752-4667 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464603 | Thabet Housami | Dentist | 635 Albany Street G-201, Boston, MA 02118-2392 | 2020-10-12 |
| 1255954178 | Citidental Brookline Pllc | Dentist | 637 Washington St Ste 210, Brookline, MA 02446-4579 | 2020-05-27 |
| 1972135028 | Endodontic Center, P.C. | Dentist | 1256 Park St Ste 203, Stoughton, MA 02072-3745 | 2020-02-06 |
| 1497228498 | Westwood Dental Associates, LLC | Dentist | 541 High St Ste 3, Westwood, MA 02090-1628 | 2019-01-02 |
| 1720561459 | Omar Alkhattab | Dentist | 72 E Concord St Rm 318, Boston, MA 02118-2307 | 2018-09-10 |
| 1851892434 | Anne Lauren Koch | Dentist | 29 Lewis Bay Blvd, Suite 4, West Yarmouth, MA 02673 | 2018-02-28 |
| 1912407560 | Endodontic Care of Ma, P.C. | Dentist | 151 E Central St, Franklin, MA 02038-1439 | 2018-02-20 |
| 1366940389 | Glick & Ritch Endo North Andover PC | Dentist | 140 Willow St # 2, North Andover, MA 01845-5918 | 2018-01-24 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1588198667 | Rafael Carmona | Dentist | 1290 Tremont St Fl 2, Roxbury, MA 02120-3432 | 2017-04-17 |
| Find all providers with the same taxonomy | ||||
| City | MARLBOROUGH |
| Zip Code | 01752 |
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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.