Leslie J Jacobs in Lafayette - Pediatric Dentistry
Leslie J Jacobs - NPI 1720115058
Leslie J Jacobs is a Pediatric Dentistry in Lafayette, Louisiana. Leslie J Jacobs practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Leslie J Jacobs is 1720115058. The last update date is 2018-11-26.
Leslie J Jacobs's current location address is 113 Rue Fontaine, Lafayette, Louisiana. You can contact this provider via phone number 3375001500. The mailing address for Leslie J Jacobs is 113 Rue Fontaine, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie J Jacobs |
|---|---|
| Address | 113 Rue Fontaine, Lafayette, Louisiana |
| Phone Number | 3375001500 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1720115058 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2018-11-26 |
Provider Mailing Address Detail
| Address | 113 Rue Fontaine |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 70508 |
| Phone Number | 3375001500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5189 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 452452184 | LA | DENTAL INSURANCES |
Post Comment/ Review Below
What is the unique provider identifier assigned to Leslie J Jacobs?
The Leslie J Jacobs has been issued the NPI (National Provider Identifier) 1720115058 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Leslie J Jacobs's facilities are geographically located?
The facilities of Leslie J Jacobs are physically situated at the following location: 113 Rue Fontaine, Lafayette, LA, 70508.
What is Leslie J Jacobs's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Leslie J Jacobs is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did the Leslie J Jacobs receive the assignment of its 1720115058 from the Centers for Medicare & Medicaid Services?
The Leslie J Jacobs was issued its 1720115058 by the Centers for Medicare & Medicaid Services on 2007-02-27.
When was the information regarding Leslie J Jacobs most recently updated?
The details pertaining to the Leslie J Jacobs, including its address, specialty, and other relevant information, were last refreshed on 2018-11-26.