IndividualActive
Jonathan Jacobs, D.D.S.
NPI 1972563609 · General Practice Dentistry · St Clair Shores, MI
Jonathan Jacobs, D.D.S. is a General Practice Dentistry provider in St Clair Shores, MI (NPI 1972563609).
Provider details
- NPI number
- 1972563609
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- License
- 2901012905 (MI)
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
20 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
22811 Greater Mack Ave
Ste. L-10
St Clair Shores, MI 48080-2021
Phone: (586) 774-2400
Fax: (586) 774-2461
Street-level locationGet directions
Mailing address
22811 Greater Mack Ave
St Clair Shores, MI 48080-2021
Registry dates
- Enumerated
- 2006-03-25
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jonathan Jacobs's NPI number?
- Jonathan Jacobs's National Provider Identifier (NPI) is 1972563609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Jacobs's specialty?
- Jonathan Jacobs is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jonathan Jacobs located?
- Jonathan Jacobs's practice location on file with NPPES is 22811 Greater Mack Ave, St Clair Shores, MI 48080-2021.
- What is Jonathan Jacobs's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Jacobs is (586) 774-2400.
- Is Jonathan Jacobs's NPI active?
- Yes — Jonathan Jacobs's NPI (1972563609) is active in the NPPES registry as of the last update on 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.