Individual
DR. JACOB ROPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1825 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1043
(541) 479-6623
Mailing address
1242 NW SALISBURY DR, GRANTS PASS, OR 97526-6349
(801) 946-0105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21493
MT
1223G0001X
General Practice Dentistry
Primary
D11788
OR
Other
Enumeration date
04/29/2021
Last updated
06/30/2023
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