Individual
DR. JACOB SHILOAH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2165 WEST ST, GERMANTOWN, TN 38138-3856
(901) 754-0540
(901) 754-0621
Mailing address
2165 WEST ST, GERMANTOWN, TN 38138-3856
(901) 754-0540
(901) 754-0621
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3429
TN
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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