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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GARY LEE JACOBSEN, DDS

Active

DR. GARY LEE JACOBSEN, DDS is a Dentist healthcare provider located in INDIANOLA, Iowa. NPI 1205895166 is currently active in the NPPES registry. Verify at CMS.

Dentist · INDIANOLA, IA

Registration Details

NPI Number
1205895166
Provider Type
Individual
Gender
Male
NPI Issued
Mar 20, 2006 (20.377135353151 yrs)
Last Updated
Jul 8, 2007
License
7648 (IA)

Practice Information

Address
200 N B ST
INDIANOLA, IA, 501252429
Browse IA providers · Browse ZIP 50125
Phone
5159618411
Primary Specialty
Dentist
122300000X

Other Dentist Providers in INDIANOLA, IA

Name Credential NPI
DR. MICHAEL THEODORE LINDEBERG I DDS 1225129455
DR. STEVEN ENSLEY WEST D.D.S. 1295806131
DR. JON EDWIN VERNON D.D.S. 1053433110
DR. LUCAS WINDER DDS 1871758425
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.