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Active NPI 1952688293 Individual Practitioner Male Practitioner

Dr. Daniel R Jacobsen , DMD

Dentist - General Practice • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Jacobsen, DMD is a registered healthcare professional specializing in Dentist - General Practice in Bloomington, IL. Practice services are available at 3220 GERIG DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3220 Gerig Dr

Bloomington, IL 617046394

Telephone 3096627722
Associated Practice Facility / Clinic
🏢 Prairie Dental Associates, P.c. Facility NPI 1528253994

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
44 Specialists

Practicing in Bloomington, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.028635

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Caroline Owens , DMD

Dentist - General Practice

NPI 1295661197

Doctor of Dental Medicine

Dr. Christopher Sikora , DMD

Dentist - General Practice

NPI 1538415831

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active November 15, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2011

Registered at 3220 GERIG DR, BLOOMINGTON, IL 617046394 (Tel: 3096627722)

📍
Updated Business Mailing Address November 15, 2011

Registered at 3220 GERIG DR, BLOOMINGTON, IL 617046394

👤
Provider Name / Credentials Updated November 15, 2011

Recorded as DANIEL JACOBSEN, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2011

Dentist (License #019.028635 in IL)

🟢
Initial NPI Registration & Enumeration November 15, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952688293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2011
Last Update: November 15, 2011
Sole Proprietor: No
Update or Correct Profile

Mailing Address

3220 Gerig Dr

Bloomington, IL 617046394

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.