Search › Michigan › 1223G0001X
Jonathan Jacobs, D.D.S
NPI 1972563609 · on the registry since 2006
Practice
- Address
- 22811 Greater Mack Ave
Ste. L-10
St Clair Shores, MI 48080 - Phone
- (586) 774-2400
- Fax
- (586) 774-2461
- 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
- 2026-07-13
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