Dr. Robert W. Jacobs
Pediatric Dentist
346 Maine St
Lawrence
, Kansas 66044-1359
Dr. Robert W. Jacobs
Pediatric Dentist
346 Maine St
Lawrence
, Kansas 66044-1359
(784) 841-0174
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Robert W. Jacobs
- 2232 Vermont St
- Lawrence, KS
- Zip : 66046-3066
- Fax : (784) 841-0174
- Phone : (785) 841-0762
Second Address
- Dr. Robert W. Jacobs
- 346 Maine St
- Lawrence, KS
- Zip : 66044-1359
- Fax : (785) 842-4335
- Phone : (785) 842-9223
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 4845 | KS |
National Provider Identifier
| NPI | 1053307678 |
|---|---|
| Provider Name | Dr. Robert W. Jacobs |
| First Address | Lawrence, KS 66046-3066 |
| Second Address | Lawrence, KS 66044-1359 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4845 | DENTAL LICENSE NUMBER (01) | KS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.