| The Jacob Dental Group Inc | |
|
17 Old Kings Rd N Suite H Palm Coast FL 32137-8282 | |
| (386) 445-6111 | |
| Not Available |
| Full Name | The Jacob Dental Group Inc |
|---|---|
| Speciality | Dentist |
| Location | 17 Old Kings Rd N, Palm Coast, Florida |
| Authorized Official Name and Position | Ronald F Jacob (OWNER) |
| Authorized Official Contact | 3864456111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Jacob Dental Group Inc 17 Old Kings Rd N Suite H Palm Coast FL 32137-8282 Ph: (386) 445-6111 | The Jacob Dental Group Inc 17 Old Kings Rd N Suite H Palm Coast FL 32137-8282 Ph: (386) 445-6111 |
| NPI Number | 1417300930 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 07/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417300930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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