| Jacobson Dental Corp | |
|
932 Admiral Callaghan Ln Vallejo CA 94591-3680 | |
| (707) 794-2020 | |
| (844) 534-8464 |
| Full Name | Jacobson Dental Corp |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 932 Admiral Callaghan Ln, Vallejo, California |
| Authorized Official Name and Position | Kushboo Kumar (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9168777450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacobson Dental Corp 1420 Rocky Ridge Dr Ste 320 Roseville CA 95661-2835 Ph: (916) 877-7450 | Jacobson Dental Corp 932 Admiral Callaghan Ln Vallejo CA 94591-3680 Ph: (707) 794-2020 |
| NPI Number | 1598568263 |
|---|---|
| Provider Enumeration Date | 03/28/2025 |
| Last Update Date | 03/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598568263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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