Individual
DR. JACOB STINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2009 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4644
(308) 382-4440
Mailing address
2009 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4644
(308) 382-4440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7142
NE
Other
Enumeration date
09/04/2014
Last updated
10/03/2023
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