Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB COLBERT LUEDER, D.D.S., M.S.
ActiveDR. JACOB COLBERT LUEDER, D.D.S., M.S. is a Periodontology healthcare provider located in COOPERSVILLE, Michigan. NPI 1952591109 is currently active in the NPPES registry. Verify at CMS.
Periodontology · COOPERSVILLE, MI
Registration Details
- NPI Number
- 1952591109
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2007 (19.093248502379 yrs)
- Last Updated
- Jan 8, 2009
- License
-
2901018860 (MI)
Practice Information
- Address
-
706 W RANDALL STCOOPERSVILLE, MI, 494041308Browse MI providers · Browse ZIP 49404
- Phone
- 6168377604
- Fax
- 6168376549
- Primary Specialty
-
Periodontology
1223P0300X
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.