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Deactivated NPI 1972616704 Deactivated / Inactive NPI Male Practitioner

Douglas R Jacobs

Dentist - General Practice • Springfield, OH

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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, Douglas Jacobs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 16, 2006
NPI Deactivation Date June 06, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Douglas Jacobs was a registered Dentist - General Practice practicing in Springfield, OH. Throughout an active medical career spanning 16 years, Douglas Jacobs provided care at the practice location at 2230 OLYMPIC ST until profile deactivation on 2022-06-06.

Practice Location & Contact Primary Location

Practice Address

2230 Olympic St

Springfield, OH 455032737

Telephone 9373994111

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Springfield, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
37 Specialists

Practicing in Springfield, OH (4287 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 OH 15673

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

1 Associated Practitioners
Dr. Linda Rossel , DO

General Practice

NPI 1649544164

Doctor of Osteopathic Medicine (D.O.)

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 June 06, 2022

Record deactivated on June 06, 2022

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 2230 OLYMPIC ST, SPRINGFIELD, OH 455032737 (Tel: 9373994111)

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Updated Business Mailing Address July 08, 2007

Registered at 2230 OLYMPIC ST, SPRINGFIELD, OH 455032737 (Tel: 9373994111)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DOUGLAS JACOBS

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

Dentist (License #15673 in OH)

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Initial NPI Registration & Enumeration August 16, 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: 1972616704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2006
Last Update: July 08, 2007
Deactivation Date: June 06, 2022

Mailing Address

2230 Olympic St

Springfield, OH 455032737

Phone: 9373994111

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.