Active NPIIndividual providerSole proprietor

Dr. Jacob M Bagley, DDS

Dentist, General Practice in Elmer, New Jersey

NPI Number1326134818
Practice location
508 Front St, Elmer, NJ 08318-2178
Fax
856-358-7767
Last updated
April 29, 2009

Jacob M Bagley is a Dentist, General Practice based in Elmer, NJ. Jacob M Bagley practices in Elmer, NJ and has the professional credentials of DDS. The NPI Number for Jacob M Bagley is 1326134818 and holds a License No. 17052 (NJ). The current practice location address for Jacob M Bagley is 508 Front St, Elmer, NJ 08318-2178 and can be reached out via phone at 856-358-2626 and via fax at 856-358-7767.

Provider Profile Details

NPI Number
1326134818
Provider Name
Jacob M Bagley
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
508 Front St, Elmer, NJ 08318-2178
Phone Number
856-358-2626
Fax Number
856-358-7767
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
October 4, 2006
Last Update Date
April 29, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
508 Front St
Elmer, NJ 08318-2178
City
Elmer
Zip
08318-2178
Phone Number
856-358-2626
Fax Number
856-358-7767
Elmer, NJ 08318Get directions →

Provider Business Mailing Address Details

Address
508 Front St
Elmer, NJ 08318-2143
City
Elmer
State
NJ
Zip
08318-2143
Phone Number
856-358-2626
Fax Number
856-358-7767

License Information

License Number
17052
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jacob M Bagley, DDS?

The NPI number of Dr. Jacob M Bagley, DDS is 1326134818. It was assigned on October 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jacob M Bagley, DDS?

Dr. Jacob M Bagley, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 17052.

Where does Dr. Jacob M Bagley, DDS practice?

The practice location is 508 Front St, Elmer, NJ 08318-2178. The office can be reached at 856-358-2626 (phone) or 856-358-7767 (fax).

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 1326134818 directly on the NPPES registry website.

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