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: July 19, 2026.

  • Individual
  • Male
  • Dentist
  • General Practice

About JASON THEOBALD

This page provides the complete NPI Profile along with additional information for Jason Theobald, a provider established in Great Lakes, Illinois with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1285826420 assigned on August 2007. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1285826420 Verify this NPI
Provider Name
DR. JASON P THEOBALD DDS
Gender
Male
Entity Type
Individual
Location Address
3001 6TH ST STE A GREAT LAKES, IL 60088
Location Phone
(847) 688-2100
Mailing Address
3001 6TH ST STE A GREAT LAKES, IL 60088
Is Sole Proprietor?
No
Enumeration Date
08-13-2007
Last Update Date
10-10-2007
Code Navigator

A dentist like Jason Theobald is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License State
IL
Taxonomy Description
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.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (General Practice)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Dentist
3001 6TH ST STE A
GREAT LAKES, IL 60088
Dentist (General Practice)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Dentist (General Practice)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Dentist (General Practice)
3001 6TH ST STE A, NAVAL HEALTH CLINIC -BLDG 1017
GREAT LAKES, IL 60088
Psychologist (Clinical)
3001 6TH ST STE A, NAVAL HEALTH CLINIC, BLDG 200-H 9-N MENTAL HEALTH CNTR
GREAT LAKES, IL 60088
Dentist (General Practice)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Dentist (Oral and Maxillofacial Surgery)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Pharmacist
3001 6TH ST STE A
GREAT LAKES, IL 60088
Audiologist
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
Military Health Care Provider (Independent Duty Corpsman)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Clinic/Center (Military/U.S. Coast Guard Outpatient)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Clinic/Center (Military/U.S. Coast Guard Outpatient)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Clinic/Center (Military/U.S. Coast Guard Outpatient)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Clinic/Center (Military/U.S. Coast Guard Outpatient)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Pharmacist
3001 6TH ST STE A, BUILDING 200H
GREAT LAKES, IL 60088
Military Health Care Provider (Independent Duty Corpsman)
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285826420, enumerated as an "individual" on August 13, 2007.

The provider is located at 3001 6TH ST STE A GREAT LAKES, IL 60088 and the phone number is (847) 688-2100.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.