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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JONATHAN H JACOBS D.D.S.
NPI 1972563609
Dentist - General Practice in St Clair Shores, MI

Active since March 25, 2006
22811 GREATER MACK AVE, STE. L-10, ST CLAIR SHORES, MI 48080(586) 774-2400(586) 774-2461 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jonathan H Jacobs D.d.s. NPPES

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

DR. JONATHAN H JACOBS D.D.S. (NPI 1972563609) is an individual general practice provider in St Clair Shores, Michigan, licensed in Michigan (2901012905) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1972563609
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JONATHAN H JACOBSCredential: D.D.S.
Location Address22811 GREATER MACK AVE, STE. L-10St Clair Shores, MI 48080-2021
Mailing Address22811 Greater Mack Ave, Ste. L-10St Clair Shores, MI 48080-2021 · (586) 774-2400 · Fax (586) 774-2461
Phone(586) 774-2400
Fax(586) 774-2461
Sole ProprietorNo
Enumeration DateMarch 25, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1972563609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901012905
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.

22811 GREATER MACK AVE, St Clair Shores, MI 48080
Open in Google Maps ↗

Other Identifiers 1

Other689419MI · United Concordia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Renaissance Dental.Insurance ›

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.

MS. SUSANNE E CONSIGLIO RD
Dietitian, Registered
22811 GREATER MACK AVE, SUITE 105
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 778-4877
DR. MARGARET LOUISE SARTORI PH.D
Psychologist (Clinical)
22811 GREATER MACK AVE, SUITE L9
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 775-5620
DR. NORMAN PAUL DWAIHY PHD
Psychologist (Health Service)
22811 GREATER MACK AVE, SUITE L9
ST CLAIR SHORES, MI 48080
Macomb County (313) 971-3840
KATHLEEN ANN ERZ MA, LLP
Psychologist
22811 GREATER MACK AVE, # 107
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 764-7199
DR. JOHN A RYAN PH.D.
Counselor (Mental Health)
22811 GREATER MACK AVE, SUITE L-3
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-3988
DR. PAMELA JEANNE HARTMANN PHD
Psychologist
22811 GREATER MACK AVE, SUITE 108
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 775-6720
DR. JUDY A MCCOWN PH.D.
Psychologist (Clinical)
22811 GREATER MACK AVE, SUITE L-3
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-3988
MRS. JOANN M. EDER MSW
Social Worker (Clinical)
22811 GREATER MACK AVE, SUITE L3
SAINT CLAIR SHORES, MI 48080
Macomb County (313) 882-2165

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 Jonathan Jacobs's NPI number?

The NPI number for Jonathan Jacobs is 1972563609. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Where is Jonathan Jacobs located?

Jonathan Jacobs practices at 22811 Greater Mack Ave Ste. L-10, St Clair Shores, MI 48080. The listed phone number is (586) 774-2400.

What is Jonathan Jacobs's specialty?

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

What insurance does Jonathan Jacobs accept?

Health plans from Renaissance Dental list Jonathan Jacobs 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 Jonathan Jacobs was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.