DR. Steven Gary Jacob, D.M.D

NPI #1053570200 in Fort Wayne, Indiana

Provider Information

NPI Number: 1053570200
Entity Type: Individual
Name: DR. Steven Gary Jacob, D.M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: Jun 3, 2008
Last Updated: Jun 3, 2008

Practice Location

Address: 7210 MAPLECREST RD
City: Fort Wayne
State: Indiana
ZIP Code: 46835-1892
Phone: (260) 485-5530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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