Dr. Mary Jacob, DMD
Dentist, General Practice in Revere, Massachusetts
1124537667- Practice location
- 334 Broadway, Revere, MA 02151-5016
- Phone
- 178-162-9624
- Fax
- —
- Last updated
- September 27, 2017
Mary Jacob is a Dentist, General Practice based in Revere, MA. 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 (MA). The current practice location address for Mary Jacob is 334 Broadway, Revere, MA 02151-5016 and can be reached out via phone at 178-162-9624.
Provider Profile Details
- NPI Number
- 1124537667
- Provider Name
- Mary Jacob
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 334 Broadway, Revere, MA 02151-5016
- Phone Number
- 178-162-9624
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 27, 2017
- Last Update Date
- September 27, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 334 Broadway
Revere, MA 02151-5016 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-5016
- Phone Number
- 178-162-9624
Provider Business Mailing Address Details
- Address
- 99 Florence Street
Apt 102
Malden, MA 02148 - City
- Malden
- State
- MA
- Zip
- 02148
- Phone Number
- 203-548-1113
License Information
- License Number
- DN1857754
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Revere, MA
View all Dentist, General Practice providers in Revere →- Apple Dental Associates, LLCDentist, General Practice · NPI 1760718126
- Bao Min Yee DMDDentist, General Practice · NPI 1326211293
- Bao Min Yee, DMD PCDentist, General Practice · NPI 1508030362
- Becker, Becker & Silvius, LLCDentist, General Practice · NPI 1588701684
- Boris Bacanurschi, DMDDentist, General Practice · NPI 1447365663
- Dipietro Family Dental Care, INC.Dentist, General Practice · NPI 1891835609
Frequently Asked Questions
What is the NPI number of Dr. Mary Jacob, DMD?
The NPI number of Dr. Mary Jacob, DMD is 1124537667. It was assigned on September 27, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Mary Jacob, DMD?
Dr. Mary Jacob, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1857754.
Where does Dr. Mary Jacob, DMD practice?
The practice location is 334 Broadway, Revere, MA 02151-5016. The office can be reached at 178-162-9624 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124537667 directly on the NPPES registry website.