Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CONNIE ANN JACOBSON, D.D.S.
Active Sole ProprietorDentist · WEST SALEM, WI
Registration Details
- NPI Number
- 1114054947
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 28, 2007 (19.143681678854 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4258-015 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1529 HERITAGE BLVDWEST SALEM, WI, 546699404Browse WI providers · Browse ZIP 54669
- Phone
- 6087860900
- Fax
- 6087864418
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in WEST SALEM, WI
| Name | Credential | NPI |
|---|---|---|
| DR. PRISCILLA H SHIH | DDS | 1487764767 |
| DR. KEVIN T LADESIC | DDS | 1669537924 |
| DR. JAMES PAUL ALLEN | D.D.S. | 1003062977 |
| DR. TREYCE M SANDERSON | DDS | 1528636388 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.