Individual
DR. RICHARD P. JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
821 W MEETING ST, LANCASTER, SC 29720-2201
(803) 286-6455
(803) 286-6701
Mailing address
821 W MEETING ST, LANCASTER, SC 29720-2201
(803) 286-6455
(803) 286-6701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2459
SC
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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