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Lisa Susan Jacob, DDS
Pediatric Dentist in Austin, Texas
NPI 1386688331

Lisa Susan Jacob is a Pediatric Dentist based in Austin, TX and is specialized in Pediatric Dentistry. Lisa Susan Jacob practices in Austin, TX and has the professional credentials of DDS. The NPI Number for Lisa Susan Jacob is 1386688331 and holds a License No. 19077 (Texas).

The current practice location address for Lisa Susan Jacob is 1301 Barbara Jordan Blvd, Austin, TX and can be reached out via phone at 512-324-9999 and via fax at 512-324-0645. You can also correspond with Lisa Susan Jacob through the mailing address at 1301 BARBARA JORDAN BLVD, AUSTIN, TX - 78723-3077 (mailing address contact number: 512-324-9999).

Location: 1301 Barbara Jordan Blvd, Austin, TX, 78723-3077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386688331
Provider Name
Lisa Susan Jacob
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1301 Barbara Jordan Blvd, Austin, TX, 78723-3077
Phone Number
512-324-9999
Fax Number
512-324-0645
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1301 Barbara Jordan Blvd
City
Austin
State
Texas
Zip
78723-3077
Phone Number
512-324-9999
Fax Number
512-324-0645
person
Provider Business Mailing Address Details
Address
1301 Barbara Jordan Blvd
City
Austin
State
Texas
Zip
78723-3077
Phone Number
512-324-9999
Fax Number
512-324-0645
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
19077 (Texas)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
19077 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
19077 (Texas)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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