Individual
DR. JACOB CHARLES TEICHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
1691 DAYTONIA RD, MIAMI BEACH, FL 33141-1732
(786) 512-0509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN25315
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
ETN814
TX
Other
Enumeration date
06/02/2021
Last updated
06/14/2022
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