Connie Jacobson, D.D.S
NPI 1114054947 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1529 Heritage Blvd
West Salem, WI 54669 - Phone
- (608) 786-0900
- Fax
- (608) 786-4418
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin