Organization
JACOBS DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY L JACOBS D.D.S. (OWNER)
(308) 382-6660
Entity
Organization
Contact information
Practice address
2916 W STOLLEY PARK ROAD, SUITE B, GRAND ISLAND, NE 68801-6807
(308) 382-6660
(308) 381-9809
Mailing address
2916 W STOLLEY PARK ROAD, SUITE B, GRAND ISLAND, NE 68801-6807
(308) 382-6660
(308) 381-9809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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