| Thomas M Jacoby | |
|
411 Massachusetts Ave Acton MA 01720-3739 | |
| (978) 263-9377 | |
| (978) 264-0759 |
| Full Name | Thomas M Jacoby |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 411 Massachusetts Ave, Acton, Massachusetts |
| Authorized Official Name and Position | Thomas M Jacoby (OWNER) |
| Authorized Official Contact | 9782639377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas M Jacoby 411 Massachusetts Ave Acton MA 01720-3739 Ph: (978) 263-9377 | Thomas M Jacoby 411 Massachusetts Ave Acton MA 01720-3739 Ph: (978) 263-9377 |
| NPI Number | 1104975556 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 12/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104975556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11120 (Massachusetts) | Primary |
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