1. Home
  2. Directory
  3. Wisconsin
  4. West Salem
  5. Dentist
  6. NPI Profile

DR. CONNIE ANN JACOBSON D.D.S.
NPI 1114054947
Dentist in West Salem, WI

Active since February 28, 2007
1529 HERITAGE BLVD, WEST SALEM, WI 54669(608) 786-0900(608) 786-4418 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Connie Ann Jacobson D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CONNIE ANN JACOBSON D.D.S. (NPI 1114054947) is an individual dentist in West Salem, Wisconsin, licensed in Wisconsin (4258-015) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1114054947
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. CONNIE ANN JACOBSONCredential: D.D.S.
Location Address1529 HERITAGE BLVDWest Salem, WI 54669-9404
Mailing Address1529 Heritage BlvdWest Salem, WI 54669-9404 · (608) 786-0900 · Fax (608) 786-4418
Phone(608) 786-0900
Fax(608) 786-4418
Sole ProprietorYes
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114054947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 4258-015
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1529 HERITAGE BLVD, West Salem, WI 54669
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc..Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie Jacobson's NPI number?

The NPI number for Connie Jacobson is 1114054947. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Connie Jacobson located?

Connie Jacobson practices at 1529 Heritage Blvd, West Salem, WI 54669. The listed phone number is (608) 786-0900.

What is Connie Jacobson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Connie Jacobson accept?

Health plans from Delta Dental of Wisconsin, Inc. list Connie Jacobson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Connie Jacobson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.