DR. DAVID JACOBS (NPI# 1750763512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750763512 |
| Entity Type | Individual |
| Full Name | DR. DAVID JACOBS |
| Practice Address |
22811 Greater Mack Ave Suite L-10 Saint Clair Shores MI 48080-2021 |
| Practice Telephone | 5867742400 |
| Mailing Telephone | 5867742400 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901021531 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952701468 | David Jacobs | Internal Medicine | 46 Timberhill Dr, Franklin Park, NJ 08823-1782 | 2014-09-03 |
| 1275944910 | David Robert Jacobs | Home Health Aide | 58 Juniper Cir, Florissant, CO 80816-9008 | 2014-05-15 |
| 1811225394 | David T Jacobs | Pediatrics | 24 Maple Ave Ste 2, Rockville Centre, NY 11570-4259 | 2009-11-22 |
| 1578753117 | David Marc Jacobs | Psychologist | 4476 Market St, Ventura, CA 93003-7775 | 2007-07-30 |
| 1386785988 | David M Jacobs | Chiropractor | 22 Wyckoff Ave, Waldwick, NJ 07463-1718 | 2007-02-08 |
| 1669531216 | David Jacobs | Urology | 1050 Lincoln Way, Mckeesport, PA 15132 | 2006-12-08 |
| 1205846342 | David Jay Jacobs | Physical Medicine & Rehabilitation | 554 White Oak Ridge Rd, Short Hills, NJ 07078-1338 | 2006-08-09 |
| 1609898154 | David Alan Jacobs | Counselor | 3900 Jermantown Rd Ste 200, Fairfax, VA 22030-4900 | 2006-07-24 |
| 1982668943 | David C Jacobs | Specialist/Technologist | 3605 Misty Morning Cir, Lexington, KY 40509-2065 | 2006-04-14 |
| 1154302537 | David Samuel Jacobs | Radiology | 300 Westage Business Ctr Dr, Suite 280, Fishkill, NY 12524-2260 | 2005-11-11 |
| Street Address |
22811 GREATER MACK AVE SUITE L-10 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114573821 | Belinda Aliahmad | Social Worker | 22811 Greater Mack Ave, Saint Clair Shores, MI 48080-2021 | 2019-08-18 |
| 1467946087 | Christine Kuhl | Psychologist | 22811 Greater Mack Ave, Saint Clair Shores, MI 48080-2021 | 2018-06-18 |
| 1700334901 | Arlene Garma-maceachran | Social Worker | 22811 Greater Mack Ave, Saint Clair Shores, MI 48080-2021 | 2016-09-15 |
| 1154879450 | Brandi Mckenzie | Social Worker | 22811 Greater Mack Ave, Suit 111, Saint Clair Shores, MI 48080-2021 | 2016-09-14 |
| 1437607736 | Dina Chaaban | Social Worker | 22811 Greater Mack Ave, Saint Clair Shores, MI 48080-2021 | 2016-09-14 |
| 1962890798 | Kristen Salem | Counselor | 22811 Greater Mack Ave, Saint Clair Shores, MI 48080-2021 | 2015-01-01 |
| 1316344971 | Anna Skardoutos | Counselor | 22811 Greater Mack Ave, Ste. L2, Saint Clair Shores, MI 48080-2021 | 2014-11-25 |
| 1730509993 | H3 - Hope Healing & Health Inc | Social Worker | 22811 Greater Mack Ave, Ste. 111, Saint Clair Shores, MI 48080-2021 | 2014-04-25 |
| 1275958118 | Nutrition Balance LLC | Clinic/Center | 22811 Greater Mack Ave, Suite 105, Saint Clair Shores, MI 48080-2021 | 2014-03-01 |
| 1083046122 | Don Thaddeus Galvin IIi | Social Worker | 22811 Greater Mack Ave, L-2, Saint Clair Shores, MI 48080-2021 | 2013-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| 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 |
|---|---|---|---|---|
| 1356951156 | Jonathan H. Jacobs, Dds, Pllc | Dentist | 24101 Greater Mack Ave, Saint Clair Shores, MI 48080-1409 | 2020-08-06 |
| 1245735620 | Joseph Michael Zylik | Dentist | 28200 Harper Ave, Saint Clair Shores, MI 48081-1684 | 2018-03-27 |
| 1235497595 | Bright Side Dental-st. Clair Shores Pllc | Dentist | 31245 Harper Ave, Saint Clair Shores, MI 48082-1401 | 2012-04-24 |
| 1053574616 | Shores Dental Reflections, Plc | Dentist | 31120 Harper Ave, Saint Clair Shores, MI 48082-1950 | 2008-07-03 |
| 1083822340 | James Francis Skoney | Dentist | 22726 Harper Ave, Saint Clair Shores, MI 48080-1823 | 2007-05-18 |
| 1457570343 | Brian James Hunt | Dentist | 24641 Jefferson Ave, Saint Clair Shores, MI 48080-1301 | 2007-04-25 |
| 1972624682 | Monica Arora Rajurs | Dentist | 29800 Harper Ave Ste 1, Saint Clair Shores, MI 48082-1655 | 2007-04-02 |
| 1114046976 | Martin J Fraschetti, D.d.s., Family Dentistry P.C. | Dentist | 27731 Jefferson Ave, Saint Clair Shores, MI 48081-1309 | 2007-03-29 |
| 1093847576 | Ronald F. Konopka | Dentist | 31850 Harper Ave, Saint Clair Shores, MI 48082-1459 | 2007-03-11 |
| 1619018652 | David Maurice Sorbo | Dentist | 30231 Jefferson Ave, Saint Clair Shores, MI 48082-1787 | 2007-02-11 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
Please comment or provide details below to improve the information on DR. DAVID JACOBS.
| 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.