# JACOB DENT DDS DENTISTS OF SLIDELL A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dentists of Slidell
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083152490
- **Authorized official:** JACOB DENT DDS (OWNER DOCTOR)
- **Authorized official phone:** (985) 214-1540

## Contact information

- **Practice address:** 420 TOWN CENTER PKWY, SLIDELL, LA 70458
- **Practice address phone:** (985) 214-1540
- **Practice address fax:** (985) 746-1375
- **Mailing address:** 17000 RED HILL AVENUE, IRVINE, CA 92614
- **Mailing address phone:** (714) 845-8500
- **Mailing address fax:** (949) 474-1495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2017
- **Last updated:** 02/06/2017