Organization
ERIC JACOBS DMD LLC
Active
Other names
Dogwood Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC JACOBS DMD (DENTIST OWNER)
(770) 926-6886
Entity
Organization
Contact information
Practice address
2421 SHALLOWFORD RD STE 146, MARIETTA, GA 30066-2013
(770) 926-6886
Mailing address
2421 SHALLOWFORD RD STE 146, MARIETTA, GA 30066-2013
(770) 926-6886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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