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

Jacob Daniel Meyer

Individual provider Dentist · NPI 1184355349

Jacob Daniel Meyer is a Dentist in Blaine, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2022
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Practice location Address checks out

12904 Central Ave NE
Blaine, MN 55434-4147
Phone: (763) 755-1330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D14782 (MN)

Record details

NPI number1184355349
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 20, 2022
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022
Mailing address854 104th Ln Ne, Blaine, MN 55434-1556

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