Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN R JAKUSZ, DDS
Active Sole ProprietorDR. BRIAN R JAKUSZ, DDS is a Dentist healthcare provider located in COLGATE, Wisconsin. NPI 1619042686 is currently active in the NPPES registry. Verify at CMS.
Dentist · COLGATE, WI
Registration Details
- NPI Number
- 1619042686
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2006 (19.544546052832 yrs)
- Last Updated
- Apr 29, 2011
- License
-
5492015 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
N95W25901 CTY HWY QSUITE ICOLGATE, WI, 530179225Browse WI providers · Browse ZIP 53017
- Phone
- 2626280555
- Primary Specialty
-
Dentist
122300000X
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.