| Dr Paul J Jacobs, Dds, Pc | |
|
429 S Lincoln Rd Escanaba MI 49829-1210 | |
| (906) 786-7878 | |
| (906) 786-0548 |
| Full Name | Dr Paul J Jacobs, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 429 S Lincoln Rd, Escanaba, Michigan |
| Authorized Official Name and Position | Paul J Jacobs (DR./ DENTIST) |
| Authorized Official Contact | 9067867878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul J Jacobs, Dds, Pc 429 S Lincoln Rd Escanaba MI 49829-1210 Ph: (906) 786-7878 | Dr Paul J Jacobs, Dds, Pc 429 S Lincoln Rd Escanaba MI 49829-1210 Ph: (906) 786-7878 |
| NPI Number | 1619991213 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 11/17/2022 |
| Medicare PECOS PAC ID | 4880915172 |
|---|---|
| Medicare Enrollment ID | O20150611003167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619991213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13612 (Michigan) | Primary |
| Provider Name | Paul J Jacobs |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1326274820 PECOS PAC ID: 4082869011 Enrollment ID: I20150611003228 |
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