Individual
DR. JACOB A HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1131 PROFESSIONAL DR, WILLIAMSBURG, VA 23185-3329
(757) 220-0330
(757) 220-9067
Mailing address
1131 PROFESSIONAL DR, WILLIAMSBURG, VA 23185-3329
(757) 220-0330
(757) 220-9067
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401413592
VA
1223G0001X
General Practice Dentistry
Primary
DS038985
PA
Other
Enumeration date
05/04/2012
Last updated
06/04/2012
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