Individual
JACOB MITCHELL HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 HEALTH CENTER DR, AHOSKIE, NC 27910-8161
(252) 287-0814
Mailing address
120 HEALTH CENTER DR, AHOSKIE, NC 27910-8161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14367
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2025
Last updated
07/21/2025
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