Dr. Wayne Steven Jacobson , DDS
Dentist - General Practice • Lisle, IL
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. Wayne Jacobson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Wayne Jacobson, DDS was a registered Dentist - General Practice practicing in Lisle, IL. Throughout an active medical career spanning 18 years, Dr. Jacobson provided care at the practice location at 1440 MAPLE AVE until profile deactivation on 2025-11-06.
Practice Location & Contact Primary Location
1440 Maple Ave
3a
Lisle, IL 605324134
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Lisle, IL
Practicing in Lisle, IL (5581 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
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
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Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 06, 2025
NPI status registered as active in NPPES database
Registered at 1440 MAPLE AVE, 3A, LISLE, IL 605324134 (Tel: 6309639280)
Registered at 1440 MAPLE AVE, 3A, LISLE, IL 605324134 (Tel: 6309639280)
Recorded as WAYNE JACOBSON, DDS
Dentist (License #19015131 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1440 Maple Ave, 3a
Lisle, IL 605324134
Phone: 6309639280
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.