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

Dr. Michael Lynn Jacobsen, DDS

Individual provider Dentist · NPI 1053335927

Dr. Michael Lynn Jacobsen, DDS is a Dentist in Wichita, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2006
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

1120 S Clifton Ave
Wichita, KS 67218-2913
Phone: (316) 687-4111
Fax: (316) 688-1098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6409 (KS)

Record details

NPI number1053335927
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 26, 2006
Last updated in NPPESJuly 8, 2007

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