Organization · Type 2 NPI

Larry S. Jacobson, Dds, PC

Periodontics · Kansas City, MO

NPI number 1700890332 Active

Practice location

6675 Holmes Rd Ste 690
Kansas City, MO 64131-1167

Fax (816) 444-1228

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X9994-216 (MO)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1700890332

Larry S. Jacobson, Dds, PC's National Provider Identifier is 1700890332, issued on Jul 28, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Kansas City, MO. The record was last updated on Aug 22, 2020.