What is Connie Jacobson's NPI number?

Connie Jacobson's National Provider Identifier (NPI) is 1114054947, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Connie Jacobson's specialty?

Connie Jacobson is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Connie Jacobson located?

Connie Jacobson's practice location on file with NPPES is 1529 Heritage Blvd, West Salem, WI 54669-9404.

What is Connie Jacobson's phone number?

The practice phone number listed in the NPPES registry for Connie Jacobson is (608) 786-0900.

Is Connie Jacobson's NPI active?

Yes — Connie Jacobson's NPI (1114054947) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Connie Jacobson, D.D.S.

NPI 1114054947 · Dentist · West Salem, WI

Connie Jacobson, D.D.S. is a Dentist provider in West Salem, WI (NPI 1114054947).

Provider details

NPI number: 1114054947
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: D.D.S.
Sex: Female
Sole proprietor: Yes
License: 4258-015 (WI)

Specialties & taxonomies

DentistPrimary122300000XLicense 4258-015 (WI)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1529 Heritage Blvd

West Salem, WI 54669-9404

Phone: (608) 786-0900

Fax: (608) 786-4418

Street-level locationGet directions

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Mailing address