Individual
DR. JACOB DOCKERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 CAMPBELL BLVD STE 102, EXTON, PA 19341-2545
(610) 280-9899
Mailing address
231 N 3RD ST APT 202, PHILADELPHIA, PA 19106-1221
(610) 955-8403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043131
PA
Other
Enumeration date
06/28/2021
Last updated
07/12/2021
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