Individual
THOMAS GREGORY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1601 RICKENBACKER DR, SUITE #7, SUN CITY CENTER, FL 33573
(813) 634-1932
(813) 634-8612
Mailing address
1601 RICKENBACKER DR, SUITE #7, SUN CITY CENTER, FL 33573
(813) 634-1932
(813) 634-8612
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10313
FL
1223P0700X
Prosthodontics
Primary
10313
FL
Other
Enumeration date
04/24/2007
Last updated
10/11/2013
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