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Dr. Mary Jacob, DMD
General Practice Dentistry in Revere, Massachusetts
NPI 1124537667

Mary Jacob is a General Practice Dentistry based in Malden, MA and is specialized in General Practice. Mary Jacob practices in Revere, MA and has the professional credentials of DMD. The NPI Number for Mary Jacob is 1124537667 and holds a License No. DN1857754 (Massachusetts).

The current practice location address for Mary Jacob is 334 Broadway, Revere, MA and can be reached out via phone at 178-162-9624.

Location: 334 Broadway, Revere, MA, 02148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124537667
Provider Name
Mary Jacob
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
334 Broadway, Revere, MA, 02148
Phone Number
178-162-9624
Fax Number
Provider Enumeration Date
09/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
334 Broadway
City
Revere
State
Massachusetts
Zip
02151-5016
Phone Number
178-162-9624
Fax Number
person
Provider Business Mailing Address Details
Address
334 Broadway
City
Revere
State
Massachusetts
Zip
02151-5016
Phone Number
178-162-9624
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN1857754 (Massachusetts)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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