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Jacob Gregory Yetzer

Oral & Maxillofacial Surgeon

3366 Oakdale Ave N Ste 200
Robbinsdale , Minnesota 55422-2962

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Jacob Gregory Yetzer

Oral & Maxillofacial Surgeon

3366 Oakdale Ave N Ste 200
Robbinsdale , Minnesota 55422-2962

(507) 284-2511

Write a Review Save Call

Jacob Gregory Yetzer

Oral & Maxillofacial Surgeon

3366 Oakdale Ave N Ste 200
Robbinsdale , Minnesota 55422-2962

(507) 284-2511 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Oral & Maxillofacial Surgeon

Languages spoken

  • English

Location

3366 Oakdale Ave N Ste 200 Robbinsdale , Minnesota 55422-2962

First Address

  • Jacob Gregory Yetzer
  • 200 1st St Sw
  • Rochester, MN
  • Zip : 55905-0001
  • Phone : (507) 284-2511

Second Address

  • Jacob Gregory Yetzer
  • 3366 Oakdale Ave N Ste 200
  • Robbinsdale, MN
  • Zip : 55422-2962
  • Fax : (763) 581-5361
  • Phone : (763) 581-5360

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FAQs


Where did Jacob Gregory Yetzer attend graduate school?

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Where did Jacob Gregory Yetzer do his residency?

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Where did Jacob Gregory Yetzer do his fellowship?

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Is Jacob Gregory Yetzer board certified?

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What type of doctor is Jacob Gregory Yetzer

Oral & Maxillofacial Surgeon

In what state does Jacob Gregory Yetzer practice in?

Minnesota

Where is Jacob Gregory Yetzer ’s practice located?

3366 Oakdale Ave N Ste 200 , Robbinsdale, Minnesota, 55422-2962

What is Jacob Gregory Yetzer ’s gender?

Male

Is Jacob Gregory Yetzer a sole practitioner?

No

Is Jacob Gregory Yetzer accepting new patients?

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What languages does Jacob Gregory Yetzer speak?

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Does Jacob Gregory Yetzer accept insurance?

Yes, Jacob Gregory Yetzer accepts insurance

Does Jacob Gregory Yetzer offers telemedicine?

Jacob Gregory Yetzer has not indicated if he offers telemedicine

What is Jacob Gregory Yetzer ’s professional license number?

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What is Jacob Gregory Yetzer ’s NPI number?

1588823983

Does Jacob Gregory Yetzer have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 204E00000X Oral & Maxillofacial Surgeon ME119107 FL

National Provider Identifier

NPI 1588823983
Provider Name Jacob Gregory Yetzer
First Address Rochester, MN 55905-0001
Second Address Robbinsdale, MN 55422-2962
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 02/06/2008
Last Update Date 28/10/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
003147783A (05) GA
011938600 (05) FL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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