Timothy Lee Jacobs in Grand Island - General Practice

Timothy Lee Jacobs - NPI 1609951458

Timothy Lee Jacobs is a General Practice in Grand Island, Nebraska. Timothy Lee Jacobs practices all healthcare services and medical treatments related to General Practice. The NPI Number for Timothy Lee Jacobs is 1609951458. The last update date is 2007-07-08.

Timothy Lee Jacobs's current location address is 2916 W Stolley Park Rd, Grand Island, Nebraska. You can contact this provider via phone number 3083826660 and fax number 3083819809. The mailing address for Timothy Lee Jacobs is 2916 W Stolley Park Rd, Grand Island, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy Lee Jacobs
Address 2916 W Stolley Park Rd, Grand Island, Nebraska
Phone Number 3083826660
Fax Number 3083819809
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1609951458
Provider Enumeration Date 2006-10-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2916 W Stolley Park Rd
City Grand Island
State Nebraska (NE)
Post Code 688016807
Phone Number 3083826660
Fax Number 3083819809

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5487 NE
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
47070582700 NE --

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FAQs about Timothy Lee Jacobs

What is the unique 10-digit identification code issued to Timothy Lee Jacobs by the Centers for Medicare & Medicaid Services?

The Timothy Lee Jacobs has been assigned the NPI (National Provider Identifier) 1609951458 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Timothy Lee Jacobs's facilities are situated?

The facilities of Timothy Lee Jacobs are physically located at the following address: 2916 W Stolley Park Rd, Grand Island, NE, 688016807.

What is the Timothy Lee Jacobs's specialty and taxonomy code?

The Timothy Lee Jacobs's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1609951458 to Timothy Lee Jacobs?

The Timothy Lee Jacobs received its 1609951458 assignment from the Centers for Medicare & Medicaid Services on 2006-10-26.

When was the information regarding Timothy Lee Jacobs most recently updated?

The details pertaining to the Timothy Lee Jacobs, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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