Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EGILL LARS JACOBSEN, DDS
Active Sole ProprietorEGILL LARS JACOBSEN, DDS is a Endodontics healthcare provider located in ADDISON, Illinois. NPI 1841360195 is currently active in the NPPES registry. Verify at CMS.
Endodontics · ADDISON, IL
Registration Details
- NPI Number
- 1841360195
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2006 (19.795094387742 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
33 S ADDISON RDSUITE 103ADDISON, IL, 601013868Browse IL providers · Browse ZIP 60101
- Phone
- 6309413316
- Fax
- 6309417020
- Primary Specialty
-
Endodontics
1223E0200X
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.