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JACOB SZYMANSKI
NPI 1770933913
Dentist in Warren, MI

Active since June 19, 2016PECOS Enrolled
11552 E 12 MILE RD, WARREN, MI 48093(586) 573-7500 Get Directions Write a Review

NPPES record last updated: June 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Szymanski NPPES

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

JACOB SZYMANSKI (NPI 1770933913) is an individual dentist in Warren, Michigan, licensed in Michigan (2901021959) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770933913
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJACOB SZYMANSKI
Location Address11552 E 12 MILE RDWarren, MI 48093-2644
Mailing Address11552 E 12 Mile RdWarren, MI 48093-2644 · (586) 573-7500
Phone(586) 573-7500
Sole ProprietorYes
Enumeration DateJune 19, 2016
✔ NPI 1770933913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901021959
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.
11552 E 12 MILE RD, Warren, MI 48093
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Other Identifiers 5

Medicare OSCAR/certification2901021959MI
Medicare NSC2901021959MI
Medicare UPIN2901021959MI
Medicaid2901021959MI
Medicare PIN2901021959MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Szymanski is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

PROFESSIONAL DENTAL ALLIANCE OF MICHIGAN,LLC
Dentist
11552 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-7500
AVNEET TAKHAR DDS
Dentist
11552 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-7500
WARREN DENTAL REFLECTIONS, PLC
Dentist (General Practice)
11552 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-7500
DALI AL SAUD
Dentist
11552 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-7500
DOMINIK WIETRZYNSKI D.D.S.
Dentist
11552 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-2533
DORCAS SAM-AYODELE DDS
Dentist (General Practice)
11552 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-7500

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 Jacob Szymanski's NPI number?

The NPI number for Jacob Szymanski is 1770933913. It was assigned to this individual provider in the NPPES registry on June 19, 2016.

Where is Jacob Szymanski located?

Jacob Szymanski practices at 11552 E 12 Mile Rd, Warren, MI 48093. The listed phone number is (586) 573-7500.

What is Jacob Szymanski's specialty?

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

Is Jacob Szymanski enrolled in Medicare?

Yes. Jacob Szymanski is registered in the Medicare PECOS enrollment system.

What insurance does Jacob Szymanski accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana and 1 other insurer list Jacob Szymanski 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 Jacob Szymanski was last updated on June 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.