OrganizationActive
Larry S. Jacobson, DDS, PC
NPI 1700890332 · Periodontics · Kansas City, MO
Provider details
- NPI number
- 1700890332
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Larry Jacobson, President(816) 444-7787
- License
- 9994-216 (MO)
Specialties & taxonomies
Dental Providers
Practice location
6675 Holmes Rd Ste 690
Kansas City, MO 64131-1167
Phone: (816) 444-7787
Fax: (816) 444-1228
Approximate (ZIP-level) locationGet directions
Mailing address
6675 Holmes Rd Ste 690
Kansas City, MO 64131-1167
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.