Individual provider · Type 1 NPI
Charles Bryan Jakobsen, DDS
General Practice Dentistry · Phoenix, AZ
NPI number
1235292046
Active
Practice location
4130 N 108th Ave, Suite 103-104
Phoenix, AZ 85037-5774
Fax (623) 772-9601
Mailing address
4044 W Alex Loop
Glendale, AZ 85310-2444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 6266 (AZ) |
General Practice Dentistry: 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.
Another provider at this address
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About NPI 1235292046
Charles Bryan Jakobsen, DDS's National Provider Identifier is 1235292046, issued on Dec 19, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.