Dr. Mark S Jacobs , DDS
Dentist - General Practice • Melrose Park, 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. Mark Jacobs has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mark Jacobs, DDS was a registered Dentist - General Practice practicing in Melrose Park, IL. Throughout an active medical career spanning 20 years, Dr. Jacobs provided care at the practice location at 802 N BROADWAY until profile deactivation on 2026-04-30.
Practice Location & Contact Primary Location
802 N Broadway
Melrose Park, IL 601603726
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Melrose Park, IL
Practicing in Melrose Park, 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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 30, 2026
NPI status registered as active in NPPES database
Registered at 802 N BROADWAY, MELROSE PARK, IL 601603726 (Tel: 7083457638)
Registered at 802 N BROADWAY, MELROSE PARK, IL 601603726 (Tel: 7083457638)
Recorded as MARK JACOBS, DDS
Dentist (License #019-017628 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
802 N Broadway
Melrose Park, IL 601603726
Phone: 7083457638
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