Sam F. Jacoby is a Dentist in Bridgeport, Nebraska. Sam F. Jacoby practices all healthcare services and medical treatments related to Dentist. The NPI Number for Sam F. Jacoby is 1184835183. The last update date is 2007-07-08.
Sam F. Jacoby's current location address is 1006 Main Street, Bridgeport, Nebraska. You can contact this provider via phone number 3082621434 and fax number 3082621436. The mailing address for Sam F. Jacoby is 1006 Main Street, Bridgeport, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sam F. Jacoby |
|---|---|
| Address | 1006 Main Street, Bridgeport, Nebraska |
| Phone Number | 3082621434 |
| Fax Number | 3082621436 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1184835183 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1006 Main Street |
|---|---|
| City | Bridgeport |
| State | Nebraska (NE) |
| Post Code | 693360864 |
| Phone Number | 3082621434 |
| Fax Number | 3082621436 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4650 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 47-071304413 | NE | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Sam F. Jacoby by the Centers for Medicare & Medicaid Services?
The Sam F. Jacoby has been issued the NPI (National Provider Identifier) 1184835183 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Sam F. Jacoby's facilities are situated?
The facilities of Sam F. Jacoby are physically located at the following address: 1006 Main Street, Bridgeport, NE, 693360864.
What is Sam F. Jacoby's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sam F. Jacoby is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184835183 to Sam F. Jacoby?
The Sam F. Jacoby received its 1184835183 assignment from the Centers for Medicare & Medicaid Services on 2007-05-24.
As of what date were the Sam F. Jacoby's details last updated?
The information pertaining to the Sam F. Jacoby, including its address, specialty, and other details, was most recently updated on 2007-07-08.