Dr. Tessie Jacob, DDS
Dentist, General Practice in Southington, Connecticut
1477937183- Practice location
- 1131 West Street, Building#1 Suite#5, Southington, CT 06489-6006
- Phone
- 860-414-6897
- Fax
- —
- Last updated
- July 1, 2020
Tessie Jacob is a Dentist, General Practice based in Southington, CT. Tessie Jacob practices in Southington, CT and has the professional credentials of DDS. The NPI Number for Tessie Jacob is 1477937183 and holds a License No. 11465 (CT). The current practice location address for Tessie Jacob is 1131 West Street, Building#1 Suite#5, Southington, CT 06489-6006 and can be reached out via phone at 860-414-6897.
Provider Profile Details
- NPI Number
- 1477937183
- Provider Name
- Tessie Jacob
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1131 West Street, Building#1 Suite#5, Southington, CT 06489-6006
- Phone Number
- 860-414-6897
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 13, 2015
- Last Update Date
- July 1, 2020
- Certification Date
- July 1, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1131 West Street
Building#1 Suite#5
Southington, CT 06489-6006 - City
- Southington
- State
- Connecticut
- Zip
- 06489-6006
- Phone Number
- 860-414-6897
Provider Business Mailing Address Details
- Address
- 1131 West Street
Building#1 Suite#5
Southington, CT 06489-6006 - City
- Southington
- State
- CT
- Zip
- 06489-6006
- Phone Number
- 860-414-6897
License Information
- License Number (1)
- 11465
- License State (1)
- CT
- Taxonomy (1)
- Dentist · 122300000X
- License Number (2)
- 11465
- License State (2)
- CT
- Taxonomy (2)
- 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 Southington, CT
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- Dr. Jack Alkon, DMDDentist, General Practice · NPI 1104820505
- Dr. John L Ceplenski, DDSDentist, General Practice · NPI 1245494327
- Dr. John W Crowell, DMDDentist, General Practice · NPI 1356616643
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Frequently Asked Questions
What is the NPI number of Dr. Tessie Jacob, DDS?
The NPI number of Dr. Tessie Jacob, DDS is 1477937183. It was assigned on July 13, 2015 and is currently active in the NPPES registry.
What is the specialty of Dr. Tessie Jacob, DDS?
Dr. Tessie Jacob, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 11465.
Where does Dr. Tessie Jacob, DDS practice?
The practice location is 1131 West Street, Building#1 Suite#5, Southington, CT 06489-6006. The office can be reached at 860-414-6897 (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 1477937183 directly on the NPPES registry website.