Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Connie Ann Jacobson, DDS

Individual provider Dentist · NPI 1114054947

Dr. Connie Ann Jacobson, DDS is a Dentist in West Salem, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1529 Heritage Blvd
West Salem, WI 54669-9404
Phone: (608) 786-0900
Fax: (608) 786-4418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4258-015 (WI)

Record details

NPI number1114054947
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1529 Heritage Blvd, West Salem, WI 54669-9404

Other providers in West Salem