Jonathan Jacoby, DDS

NPI #1023490893 in Joplin, Missouri

Provider Information

NPI Number: 1023490893
Entity Type: Individual
Name: Jonathan Jacoby, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 29, 2015
Last Updated: Jun 29, 2015

Practice Location

Address: 1411 S RANGE LINE RD
City: Joplin
State: Missouri
ZIP Code: 64801-5589
Phone: (417) 553-7377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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