Search › Michigan › 1223G0001X
Mark Jacobs, DDS
NPI 1598770273 · on the registry since 2006 · sole proprietor
Practice
- Address
- 16824 Newburgh Rd
Livonia, MI 48154 - Phone
- (734) 591-4145
- Fax
- (734) 591-4168
- Organisation at this address
- Bright Side Dental
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- 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 Michigan