DR. Sam F. Jacoby, D.D.S.

NPI #1184835183 in Bridgeport, Nebraska

Provider Information

NPI Number: 1184835183
Entity Type: Individual
Name: DR. Sam F. Jacoby, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1006 MAIN STREET
City: Bridgeport
State: Nebraska
ZIP Code: 69336-0864
Phone: (308) 262-1434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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