Individual provider · Type 1 NPI

Mark William Jacob, DDS

General Practice Dentistry · Northbrook, IL

NPI number 1275659955 Active

About NPI 1275659955

Mark William Jacob, DDS's National Provider Identifier is 1275659955, issued on Mar 22, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Northbrook, IL. The record was last updated on Jul 8, 2007.