Individual
DR. ALLISON E JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4845 RIALTO RD STE A, WEST CHESTER, OH 45069-2910
(513) 772-6500
(513) 772-2002
Mailing address
41 LOCKWOOD PL, FORT THOMAS, KY 41075-2267
(859) 250-8438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9759
KY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30.025943
OH
Other
Enumeration date
12/05/2016
Last updated
06/22/2020
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