Lawrence Jacoby is a Dentist in Portland, Maine. Lawrence Jacoby practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lawrence Jacoby is 1487713905. The last update date is 2007-07-08.
Lawrence Jacoby's current location address is 276 Canco Rd, Portland, Maine. You can contact this provider via phone number 2078741025. The mailing address for Lawrence Jacoby is 276 Canco Rd, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence Jacoby |
|---|---|
| Address | 276 Canco Rd, Portland, Maine |
| Phone Number | 2078741025 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD, MPH |
NPI Number Detail
| NPI Number | 1487713905 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 276 Canco Rd |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41034351 |
| Phone Number | 2078741025 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 7705 |
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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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What is the unique 10-digit identification code assigned to Lawrence Jacoby by the Centers for Medicare & Medicaid Services?
The Lawrence Jacoby has been issued the NPI (National Provider Identifier) 1487713905, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lawrence Jacoby?
The Lawrence Jacoby is situated at 276 Canco Rd, in the city of Portland, state of ME, with the zip code 41034351.
What is Lawrence Jacoby's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lawrence Jacoby is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
When was the Lawrence Jacoby's 1487713905 issued?
The Lawrence Jacoby's 1487713905 was issued on 2006-12-08.
When was the Lawrence Jacoby's information last updated?
The Lawrence Jacoby's information was last updated on 2007-07-08.
NPI Number: 1376546309
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