NPI 1114054947
Connie Ann Jacobson, DDS
Practice location
- Address
- 1529 Heritage Blvd, West Salem, WI 54669-9404
- Phone
- (608) 786-0900
- Fax
- (608) 786-4418
Registered specialties
Dentist
Primary
Registry record
- NPI
- 1114054947
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Feb 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.