Individual provider · Type 1 NPI

Jonathan H. Jacobs, DDS

General Practice Dentistry · St. Clair Shores, MI

NPI number 1972563609 Active

Practice location

22811 Greater Mack Ave, Ste. L-10
St. Clair Shores, MI 48080-2021

Fax (586) 774-2461

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2901012905 (MI)

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 1972563609

Jonathan H. Jacobs, DDS's National Provider Identifier is 1972563609, issued on Mar 25, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Clair Shores, MI. The record was last updated on Jul 13, 2026.