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Dr. Jacob Edward Postula, DDS
General Practice Dentistry in Peru, Illinois
NPI 1750022430

Jacob Edward Postula is a General Practice Dentistry based in La Salle, IL and is specialized in General Practice. Jacob Edward Postula practices in Peru, IL and has the professional credentials of DDS. The NPI Number for Jacob Edward Postula is 1750022430 and holds a License No. (Illinois).

The current practice location address for Jacob Edward Postula is 2001 4Th St, Peru, IL and can be reached out via phone at 815-223-0171.

Location: 2001 4Th St, Peru, IL, 61301-9632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750022430
Provider Name
Jacob Edward Postula
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2001 4Th St, Peru, IL, 61301-9632
Phone Number
815-223-0171
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2001 4Th St
City
Peru
State
Illinois
Zip
61354-3208
Phone Number
815-223-0171
Fax Number
person
Provider Business Mailing Address Details
Address
2001 4Th St
City
Peru
State
Illinois
Zip
61354-3208
Phone Number
815-223-0171
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019.033843 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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