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Active NPI 1528077435 Individual Practitioner Male Practitioner

Dr. Stephen Eric Jacobson , DDS PC

Dentist - General Practice • Walled Lake, MI

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Jacobson, DDS PC is a registered healthcare professional specializing in Dentist - General Practice in Walled Lake, MI. Practice services are available at 39890 W 14 MILE RD. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

39890 W 14 Mile Rd.

Walled Lake, MI 483903911

Telephone 2486248090
Fax 2486248288
Associated Practice Facility / Clinic
🏢 Stephen E Jacobson Dds Pc Facility NPI 1518117498

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Walled Lake, MI

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

Practicing in Walled Lake, 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

CMS Verified: 2022-05-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 14257

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
723815 (MI)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Benjamin Morris , DDS

Dentist - General Practice

NPI 1326568072

Doctor of Dental Surgery

Dr. Meena Sabnis , DDS

Dentist - General Practice

NPI 1548390230

Doctor of Dental Surgery

NPI 1689786980

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated May 04, 2022

Recorded as STEPHEN JACOBSON, D.D.S. PC

NPI Profile Active May 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 28, 2014

Registered at 39890 W 14 MILE RD., WALLED LAKE, MI 483903911 (Tel: 2486248090)

📍
Updated Business Mailing Address May 28, 2014

Registered at 39890 W 14 MILE RD., WALLED LAKE, MI 483903911 (Tel: 2486248090)

👤
Provider Name / Credentials Updated May 28, 2014

Recorded as STEPHEN JACOBSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2014

Dentist (License #14257 in MI)

🟢
Initial NPI Registration & Enumeration August 07, 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: 1528077435
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2006
Last Update: May 04, 2022
Sole Proprietor: No

Mailing Address

39890 W 14 Mile Rd.

Walled Lake, MI 483903911

Phone: 2486248090

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.