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Deactivated NPI 1154541993 Deactivated / Inactive NPI Male Practitioner

Dr. Paul Walter Jacobs , DDS, MAGD

Dentist - General Practice • Glenview, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Paul Jacobs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 26, 2007
NPI Deactivation Date July 12, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Jacobs, DDS, MAGD was a registered Dentist - General Practice practicing in Glenview, IL. Throughout an active medical career spanning 16 years, Dr. Jacobs provided care at the practice location at 3633 W LAKE AVE until profile deactivation on 2023-07-12.

Practice Location & Contact Primary Location

Practice Address

3633 W Lake Ave
Suite 409

Glenview, IL 600265805

Telephone 8477299403
Fax 8477299513
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Glenview, IL

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

Practicing in Glenview, 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

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

40 Associated Practitioners
Linda Weston , LCSW

Social Worker - Clinical

NPI 1003883596

Licensed Clinical Social Worker

NPI 1053325977

Master of Arts, CCCA

Maddie Zimborski , LCPC

Counselor - Professional

NPI 1104429612

Licensed Clinical Professional Counselor

NPI 1114984770

Doctor of Medicine (M.D.)

Dr. Joon Moon , DDS

Dentist - General Practice

NPI 1124192745

Doctor of Dental Surgery

Dr. Jeffery Bressman , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1154345106

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 12, 2023

Record deactivated on July 12, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3633 W LAKE AVE, SUITE 409, GLENVIEW, IL 600265805 (Tel: 8477299403)

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Updated Business Mailing Address July 08, 2007

Registered at 3633 W LAKE AVE, SUITE 409, GLENVIEW, IL 600265805 (Tel: 8477299403)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PAUL JACOBS, D.D.S., M.A.G.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

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Initial NPI Registration & Enumeration April 26, 2007

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: 1154541993
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2007
Last Update: July 08, 2007
Deactivation Date: July 12, 2023

Mailing Address

3633 W Lake Ave, Suite 409

Glenview, IL 600265805

Phone: 8477299403

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.