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Dr. Bennett Jacoby
Periodontist in Lihue, Hawaii
NPI 1235331273

Bennett Jacoby is a Periodontist based in Sioux Falls, HI and is specialized in Periodontics. Bennett Jacoby practices in Lihue, HI. The NPI Number for Bennett Jacoby is 1235331273 and holds a License No. DT2112 (Hawaii).

The current practice location address for Bennett Jacoby is 2978 Haleko Rd, Lihue, HI and can be reached out via phone at 808-202-2060. You can also correspond with Bennett Jacoby through the mailing address at PO BOX 75407294, SIOUX FALLS, SD - 57186-1379 (mailing address contact number: 808-202-2060).

Location: 2978 Haleko Rd, Lihue, HI, 57186-1379
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235331273
Provider Name
Bennett Jacoby
Credential
Provider Entity Type
Individual
Gender
Male
Address
2978 Haleko Rd, Lihue, HI, 57186-1379
Phone Number
808-202-2060
Fax Number
Provider Enumeration Date
06/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2978 Haleko Rd
City
Lihue
State
Hawaii
Zip
96766-1379
Phone Number
808-202-2060
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 75407294
City
Sioux Falls
State
South Dakota
Zip
57186-1379
Phone Number
808-202-2060
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DT2112 (Hawaii)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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