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PETER W JACOBSEN DDS PLLC NPI 1053480988


NPI Information

NPI: 1053480988
Provider Name: PETER W JACOBSEN DDS PLLC

Doing Business As: MAPLE VALLEY FAMILY DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
27016 MAPLE VALLEY BLK DIAMOND RD SE
MAPLE VALLEY, WA
ZIP 98038
Phone: (425) 413-8525
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PETER W JACOBSEN DDS PLLC is a general practice dentist in Maple Valley, WA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PETER W JACOBSEN DDS PLLC NPI is 1053480988. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Maple Valley Family Dental Care.

The provider's business location address is:

27016 MAPLE VALLEY BLK DIAMOND RD SE
MAPLE VALLEY, WA
ZIP 98038
Phone: (425) 413-8525
Fax: (425) 413-8599

The provider's authorized official is Julie S Cielo .
The authorized official title is Manager and has the following contact phone number (425) 413-8525.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 8/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDE00005267WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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