Active NPIIndividual provider

Dr. Stacey L Jacobs, DMD

Dentist, General Practice in Newport, Rhode Island

NPI Number1881611390
Practice location
19 Broadway, Newport, RI 02840-2937
Fax
401-847-4245
Last updated
September 26, 2011

Stacey Lynn Jacobs is a Dentist, General Practice based in Newport, RI. Stacey Lynn Jacobs practices in Newport, RI and has the professional credentials of DMD. The NPI Number for Stacey Lynn Jacobs is 1881611390 and holds a License No. DEN02937 (RI). The current practice location address for Stacey Lynn Jacobs is 19 Broadway, Newport, RI 02840-2937 and can be reached out via phone at 401-845-0564 and via fax at 401-847-4245.

Provider Profile Details

NPI Number
1881611390
Provider Name
Stacey Lynn Jacobs
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
19 Broadway, Newport, RI 02840-2937
Phone Number
401-845-0564
Fax Number
401-847-4245
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
July 17, 2006
Last Update Date
September 26, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Broadway
Newport, RI 02840-2937
Zip
02840-2937
Phone Number
401-845-0564
Fax Number
401-847-4245
Newport, RI 02840Get directions →

Provider Business Mailing Address Details

Address
42 Farewell St
Apt 2
Newport, RI 02840-2564
City
Newport
State
RI
Zip
02840-2564
Phone Number
401-845-0564
Fax Number
401-847-4245

License Information

License Number
DEN02937
License State
RI
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. Stacey L Jacobs, DMD?

The NPI number of Dr. Stacey L Jacobs, DMD is 1881611390. It was assigned on July 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Stacey L Jacobs, DMD?

Dr. Stacey L Jacobs, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in RI under license number DEN02937.

Where does Dr. Stacey L Jacobs, DMD practice?

The practice location is 19 Broadway, Newport, RI 02840-2937. The office can be reached at 401-845-0564 (phone) or 401-847-4245 (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 1881611390 directly on the NPPES registry website.

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