Jacobson, Timothy Dale

Jacobson, Timothy Dale is an individual health care provider with primary practice located at 1411 W Saint Germain St Suite #103, Saint Cloud MN 56301-4121. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jacobson, Timothy Dale can be contacted via phone (320) 253-2121.

Contact Information

Primary practice address
1411 W Saint Germain St Suite #103 Saint Cloud MN 56301-4121
Phone: (320) 253-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 11661 Minnesota

Profile Details

NPI number 1326113127
LBN Legal business name Jacobson, Timothy Dale
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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