Individual provider · Type 1 NPI

Jason P. Theobald, DDS

General Practice Dentistry · Great Lakes, IL

NPI number 1285826420 Active

Practice location

3001 6th St Ste A
Great Lakes, IL 60088

Call (847) 688-2100 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

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.

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About NPI 1285826420

Jason P. Theobald, DDS's National Provider Identifier is 1285826420, issued on Aug 13, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Great Lakes, IL. The record was last updated on Oct 10, 2007.