DR. JONATHAN H JACOBS (NPI# 1972563609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972563609 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN H JACOBS |
| Credential | D.D.S. |
| Practice Address |
22811 Greater Mack Ave Ste. L-10 St Clair Shores MI 48080-2021 |
| Practice Telephone | 5867742400 |
| Practice Fax Number | 5867742461 |
| Mailing Telephone | 5867742400 |
| Mailing Fax Number | 5867742461 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901012905 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | UNITED CONCORDIA | 689419 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720506850 | Jonathan Jacobs | Military Health Care Provider | 3064 Taussig St, San Diego, CA 92124 | 2017-09-08 |
| 1164458907 | Jonathan T. Jacobs | Internal Medicine | 5701 W 119th St Ste 419, Overland Park, KS 66209-3721 | 2006-06-23 |
| 1730685447 | Jonathan Levi Jacobs | Student in an Organized Health Care Education/Training Program | 22 S Greene St Rm N3e09, Baltimore, MD 21201-1544 | 2018-04-02 |
| 1649773185 | Jonathan Jacobs | Emergency Medical Technician, Paramedic | 707 Sheridan Ave, Cody, WY 82414-3409 | 2018-03-12 |
| 1912155193 | Jonathan Patrick Jacobs | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2008-08-31 |
| 1700082948 | Jonathan Jacobs | Pediatrics | Ut College of Medicine 920 Madison Ave, Suite C50, Memphis, TN 38163-0001 | 2007-06-25 |
| 1942397021 | Jonathan L Jacobs | Internal Medicine | 525 E 68th St, New York, NY 10021-4870 | 2006-10-09 |
| 1023123668 | Jonathan S Jacobs | Plastic Surgery | 1037 First Colonial Rd, Virginia Beach, VA 23454-3037 | 2006-08-21 |
| 1114919917 | Jonathan M. Jacobs | Radiology | 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-3807 | 2005-08-17 |
| Street Address |
22811 GREATER MACK AVE STE. L-10 |
| City | ST CLAIR SHORES |
| State | MI |
| Zip Code | 48080-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598851883 | Norman Paul Dwaihy | Psychologist | 22811 Greater Mack Ave, Suite L9, St Clair Shores, MI 48080 | 2006-10-05 |
| 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 |
|---|---|---|---|---|
| 1942361621 | Gary Michael Maisel | Dentist | 21200 Harper Ave, St Clair Shores, MI 48080 | 2006-12-13 |
| 1245283506 | Frank J Mitchell | Dentist | 29820 Harper Ave, St Clair Shores, MI 48082-2608 | 2006-05-18 |
| 1841248366 | Lisa M Lopiccolo | Dentist | 20607 E 11 Mile Rd, St Clair Shores, MI 48081-1401 | 2006-05-05 |
| 1801854526 | Lee Ockner | Dentist | 29800 Harper Ave, #1, St Clair Shores, MI 48082-1655 | 2006-05-02 |
| 1982668372 | Kevin Donald Prush | Dentist | 27941 Harper Ave, Suite 101, St Clair Shores, MI 48081-1580 | 2006-04-13 |
| 1477533248 | John Robert Leverenz | Dentist | 24619 Harper Ave, St Clair Shores, MI 48080-1272 | 2006-01-18 |
| 1841278405 | David Joseph Dobbins | Dentist | 23915 Jefferson Ave, St Clair Shores, MI 48080-1512 | 2006-01-04 |
| 1205901865 | Joseph Difranco Jr Dds PC | Dentist | 22221 Greater Mack Ave, Ste B, St Clair Shores, MI 48080-2351 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749522 | Berman Family Dentistry Pllc | Dentist | 9430 S Main St Ste 1, Plymouth, MI 48170-4149 | 2020-10-28 |
| 1821696956 | Dream Dental Group Pllc | Dentist | 9600 Commerce Rd, Commerce Twp, MI 48382-4111 | 2020-10-12 |
| 1629675020 | Superior Family Dental | Dentist | 425 W Huron St Ste 140, Milford, MI 48381-2243 | 2020-10-08 |
| 1255948790 | Jamie L Hafke Dds Pllc | Dentist | 1955 N Pontiac Trl, Walled Lake, MI 48390-3157 | 2020-09-29 |
| 1942817812 | Maria Edith Cserhalmi | Dentist | 20618 Harper Ave., Harper Woods, MI 48225-1429 | 2020-09-25 |
| 1649886748 | Advanced Family Dentistry-plymouth Pllc | Dentist | 44644 Ann Arbor Rd W Ste F, Plymouth, MI 48170-4089 | 2020-09-23 |
| 1396351045 | Sandra Alias | Dentist | 27828 Westcott Crescent Cir, Farmington Hills, MI 48334-5314 | 2020-09-18 |
| 1265047641 | Michigan Implant Dental Center | Dentist | 28701 Plymouth Rd Ste B, Livonia, MI 48150-2421 | 2020-09-11 |
| 1366057929 | Dr. Leigh Ellen Snyder Dds | Dentist | 16869 E 14 Mile Rd, Fraser, MI 48026-2239 | 2020-09-10 |
| 1215541305 | Kevin P Cooper Dds PC | Dentist | 202 Brady Street, Sault Sainte Marie, MI 49783 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | ST CLAIR SHORES |
| Zip Code | 48080 |
Please comment or provide details below to improve the information on DR. JONATHAN H 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.