Roge Jack Jacob in San Jose - General Practice
Roge Jack Jacob - NPI 1891916912
Roge Jack Jacob is a General Practice in San Jose, California. Roge Jack Jacob practices all healthcare services and medical treatments related to General Practice. The NPI Number for Roge Jack Jacob is 1891916912. The last update date is 2007-07-08.
Roge Jack Jacob's current location address is 1660 Hillsdale Ave Ste 130, San Jose, California. You can contact this provider via phone number 4082672550. The mailing address for Roge Jack Jacob is 1660 Hillsdale Ave Ste 130, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roge Jack Jacob |
|---|---|
| Address | 1660 Hillsdale Ave Ste 130, San Jose, California |
| Phone Number | 4082672550 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1891916912 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1660 Hillsdale Ave Ste 130 |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951243243 |
| Phone Number | 4082672550 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 41622 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Roge Jack Jacob's 1891916912?
The Roge Jack Jacob's NPI (National Provider Identifier) Number is 1891916912. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Roge Jack Jacob is physically located?
The Roge Jack Jacob is physically situated at the following address: 1660 Hillsdale Ave Ste 130, San Jose, CA, 951243243.
What is the Roge Jack Jacob's area of specialization and corresponding taxonomy classification?
The Roge Jack Jacob's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When did Roge Jack Jacob receive its 1891916912 assignment?
The Roge Jack Jacob was assigned its 1891916912 on 2007-05-02, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Roge Jack Jacob most recently updated or revised?
The information pertaining to Roge Jack Jacob, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.