| Jacob Thomas Ming Dds Inc | |
|
21297 Foothill Blvd Ste 204 Hayward CA 94541-1554 | |
| (510) 582-1757 | |
| Not Available |
| Full Name | Jacob Thomas Ming Dds Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 21297 Foothill Blvd Ste 204, Hayward, California |
| Authorized Official Name and Position | Jacob Thomas Ming (PRESIDENT) |
| Authorized Official Contact | 5105821757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Thomas Ming Dds Inc 21297 Foothill Blvd Ste 204 Hayward CA 94541-1554 Ph: (510) 582-1757 | Jacob Thomas Ming Dds Inc 21297 Foothill Blvd Ste 204 Hayward CA 94541-1554 Ph: (510) 582-1757 |
| NPI Number | 1396510574 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 11/17/2023 |
| Medicare PECOS PAC ID | 3476900283 |
|---|---|
| Medicare Enrollment ID | O20231115001836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396510574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jacob T Ming |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124231659 PECOS PAC ID: 8123477320 Enrollment ID: I20231213004098 |
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