Individual provider · Type 1 NPI

Jacob Lawrence Samuelson, DDS

Student in an Organized Health Care Education/Training Program · Milwaukee, WI

NPI number 1033048624 Active

Practice location

9000 W Wisconsin Ave Ste 310
Milwaukee, WI 53226-4874

Call (414) 266-2040 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1033048624

Jacob Lawrence Samuelson, DDS's National Provider Identifier is 1033048624, issued on May 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Milwaukee, WI. The record was last updated on May 18, 2026.