Barry T Jacobs is a Dentist in Ashland, Wisconsin. Barry T Jacobs practices all healthcare services and medical treatments related to Dentist. The NPI Number for Barry T Jacobs is 1508922428. The last update date is 2023-03-07.
Barry T Jacobs's current location address is 615 Lake Shore Dr W, Ashland, Wisconsin. You can contact this provider via phone number 7156822811. The mailing address for Barry T Jacobs is 615 Lake Shore Dr W, Ashland, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barry T Jacobs |
|---|---|
| Address | 615 Lake Shore Dr W, Ashland, Wisconsin |
| Phone Number | 7156822811 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1508922428 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 615 Lake Shore Dr W |
|---|---|
| City | Ashland |
| State | Wisconsin (WI) |
| Post Code | 548061507 |
| Phone Number | 7156822811 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4283-15 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33709000 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Barry T Jacobs by the Centers for Medicare & Medicaid Services?
The Barry T Jacobs has been issued the NPI (National Provider Identifier) 1508922428, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Barry T Jacobs located?
The Barry T Jacobs is located at 615 Lake Shore Dr W, Ashland, WI 548061507.
What is Barry T Jacobs's specialized field of practice, and what is the corresponding taxonomy classification code?
The Barry T Jacobs's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Barry T Jacobs receive the assignment of its 1508922428 from the Centers for Medicare & Medicaid Services?
The Barry T Jacobs was issued its 1508922428 by the Centers for Medicare & Medicaid Services on 2006-12-28.
When was the information regarding Barry T Jacobs most recently updated?
The details pertaining to the Barry T Jacobs, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.