Active NPIIndividual provider

Tyler B Jacobs

Dentist, Oral and Maxillofacial Surgery in Newark, New Jersey

NPI Number1760007835
Practice location
110 Bergen St, Newark, NJ 07103-2495
Fax
—
Last updated
May 1, 2026

Tyler Branson Jacobs is a Dentist, Oral and Maxillofacial Surgery based in Newark, NJ. Tyler Branson Jacobs practices in Newark, NJ. The NPI Number for Tyler Branson Jacobs is 1760007835 and holds a License No. 22DI02849510 (NJ). The current practice location address for Tyler Branson Jacobs is 110 Bergen St, Newark, NJ 07103-2495 and can be reached out via phone at 973-972-4242.

Provider Profile Details

NPI Number
1760007835
Provider Name
Tyler Branson Jacobs
Provider Entity Type
Individual
Gender
Male
Address
110 Bergen St, Newark, NJ 07103-2495
Phone Number
973-972-4242
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2020
Last Update Date
May 1, 2026
Certification Date
May 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Bergen St
Newark, NJ 07103-2495
City
Newark
Zip
07103-2495
Phone Number
973-972-4242
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
110 Bergen St
Newark, NJ 07103-2495
City
Newark
State
NJ
Zip
07103-2495

License Information

License Number
22DI02849510
License State
NJ
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · 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 Tyler B Jacobs?

The NPI number of Tyler B Jacobs is 1760007835. It was assigned on June 14, 2020 and is currently active in the NPPES registry.

What is the specialty of Tyler B Jacobs?

Tyler B Jacobs is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number 22DI02849510.

Where does Tyler B Jacobs practice?

The practice location is 110 Bergen St, Newark, NJ 07103-2495. The office can be reached at 973-972-4242 (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 1760007835 directly on the NPPES registry website.

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