Search › Illinois › 1223G0001X
Daniel Jacobsen, D.M.D
NPI 1952688293 · on the registry since 2011
Practice
- Address
- 3220 Gerig Dr
Bloomington, IL 61704 - Phone
- (309) 662-7722
- Organisation at this address
- Sikora & Jacobsen Llc
Prairie Dental Associates, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-11-15
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 Illinois