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Active NPI 1972563609 Individual Practitioner Male Practitioner

Dr. Jonathan H Jacobs , DDS

Dentist - General Practice • St Clair Shores, MI

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Jacobs, DDS is a registered healthcare professional specializing in Dentist - General Practice in St Clair Shores, MI. Practice services are available at 22811 GREATER MACK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22811 Greater Mack Ave
Ste. L-10

St Clair Shores, MI 480802021

Telephone 5867742400
Fax 5867742461
Associated Practice Facility / Clinic
🏢 Jonathan H. Jacobs, Dds, Pllc Facility NPI 1356951156

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in St Clair Shores, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
10 Specialists

Practicing in St Clair Shores, MI (4360 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 MI 2901012905

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID United Concordia
689419 (MI)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Leah Jacobs , DDS

Dentist - General Practice

NPI 1184350175

Doctor of Dental Surgery

NPI 1427789080

Doctor of Dental Surgery

David Jacobs

Dentist - General Practice

NPI 1750763512

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 22811 GREATER MACK AVE, STE. L-10, ST CLAIR SHORES, MI 480802021 (Tel: 5867742400)

📍
Updated Business Mailing Address July 08, 2007

Registered at 22811 GREATER MACK AVE, STE. L-10, ST CLAIR SHORES, MI 480802021 (Tel: 5867742400)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JONATHAN JACOBS, D.D.S.

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

Dentist (License #2901012905 in MI)

🟢
Initial NPI Registration & Enumeration March 25, 2006

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: 1972563609
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

22811 Greater Mack Ave, Ste. L-10

St Clair Shores, MI 480802021

Phone: 5867742400

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.