Individual
DR. JACOB CHARLES MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1305 W ESPLANADE AVE, KENNER, LA 70065-2744
(504) 469-6333
(504) 469-6355
Mailing address
1305 W ESPLANADE AVE, KENNER, LA 70065-2744
(504) 463-6333
(504) 469-6355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6278
LA
Other
Enumeration date
06/19/2012
Last updated
03/23/2021
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