Stacey Jacobs, RDH

NPI 1629898135 · on the registry since 2024

Practice

Address: 2525 S Cleveland Ave Ste 1
Saint Joseph, MI 49085
Phone: (269) 429-1587
Organisation at this address: Stuart Boekeloo, Dds, Pc
Craig C Brown Dmd & John C Luczak Dmd Pllc
Great Lakes Family Dental Group-St. Joseph
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: Dental Hygienist
124Q00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-10-10

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