Individual provider · Type 1 NPI

Gina Mira Jacobsen, DDS

Dentist · Aurora, IL

NPI number 1790982502 Active

Practice location

1940 W Galena Blvd, Suite 10
Aurora, IL 60506-4319

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019-027370 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1790982502

Gina Mira Jacobsen, DDS's National Provider Identifier is 1790982502, issued on Jun 27, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Aurora, IL. The record was last updated on Jul 22, 2008.