Provider Demographics
NPI:1588763593
Name:JACOBSON, SARAH P (DDS)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:P
Last Name:JACOBSON
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:J
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2 COMMERCIAL AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON CT HS
Mailing Address - State:OH
Mailing Address - Zip Code:43160
Mailing Address - Country:US
Mailing Address - Phone:740-335-2921
Mailing Address - Fax:740-335-5664
Practice Address - Street 1:2 COMMERCIAL AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON CT HS
Practice Address - State:OH
Practice Address - Zip Code:43160
Practice Address - Country:US
Practice Address - Phone:740-335-2921
Practice Address - Fax:740-335-5664
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300217751223X0400X
OH30-021775122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics