| Jacobs Dental Group Llc | |
|
2916 W Stolley Park Road Suite B Grand Island NE 68801-6807 | |
| (308) 382-6660 | |
| (308) 381-9809 |
| Full Name | Jacobs Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2916 W Stolley Park Road, Grand Island, Nebraska |
| Authorized Official Name and Position | Timothy L Jacobs (OWNER) |
| Authorized Official Contact | 3083826660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacobs Dental Group Llc 2916 W Stolley Park Road Suite B Grand Island NE 68801-6807 Ph: (308) 382-6660 | Jacobs Dental Group Llc 2916 W Stolley Park Road Suite B Grand Island NE 68801-6807 Ph: (308) 382-6660 |
| NPI Number | 1871293688 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871293688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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