Individual
DR. JACOB SHIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1461 EBENEZER RD, ROCK HILL, SC 29732-2338
(803) 324-7461
Mailing address
1461 EBENEZER RD, ROCK HILL, SC 29732-2338
(803) 324-7461
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8642
SC
Other
Enumeration date
08/20/2015
Last updated
05/03/2022
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