DR. JASON P THEOBALD DDS
NPI 1285826420
Dentist - General Practice in Great Lakes, IL

Active since August 13, 2007
3001 6TH ST STE A, GREAT LAKES, IL 60088(847) 688-2100 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jason P Theobald Dds NPPES

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

DR. JASON P THEOBALD DDS (NPI 1285826420) is an individual general practice provider in Great Lakes, Illinois and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1285826420
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JASON P THEOBALDCredential: DDS
Location Address3001 6TH ST STE AGreat Lakes, IL 60088
Mailing Address3001 6th St Ste AGreat Lakes, IL 60088
Sole ProprietorNo
Enumeration DateAugust 13, 2007
Last NPPES UpdateOctober 10, 2007
NPI 1285826420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3001 6TH ST STE A, Great Lakes, IL 60088

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
3001 6TH ST STE A, NAVAL HEALTH CLINIC, BLDG 200-H 9-N MENTAL HEALTH CNTR
GREAT LAKES, IL 60088
Military Health Care Provider (Independent Duty Corpsman)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Audiologist
3001 6TH ST STE A
GREAT LAKES, IL 60088
Dentist (General Practice)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Social Worker (Clinical)
3001 6TH ST STE A, NAVAL HEALTH CLINIC MENTAL HEALTH
GREAT LAKES, IL 60088
Clinic/Center (Military/U.S. Coast Guard Outpatient)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Military Health Care Provider (Independent Duty Corpsman)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Dentist (General Practice)
3001 6TH ST STE A
GREAT LAKES, IL 60088

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 Jason Theobald's NPI number?

The NPI number for Jason Theobald is 1285826420. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Where is Jason Theobald located?

Jason Theobald practices at 3001 6th St Ste A, Great Lakes, IL 60088. The listed phone number is (847) 688-2100.

What is Jason Theobald's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jason Theobald was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.