IndividualActive
Zhimon Jacobson, DMD
NPI 1174559587 · Prosthodontics · Boston, MA
Provider details
- NPI number
- 1174559587
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 14943 (MA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 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
96 Bay State Rd
Suite #1
Boston, MA 02215-1906
Phone: (617) 424-1919
Approximate (ZIP-level) locationGet directions
Mailing address
96 Bay State Rd
Boston, MA 02215-1906
Registry dates
- Enumerated
- 2006-06-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.