Lisa Susan Jacob, D.D.S.

NPI #1386688331 in Kyle, Texas

Provider Information

NPI Number: 1386688331
Entity Type: Individual
Name: Lisa Susan Jacob, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Pediatric Dentistry
Credential: D.D.S.
Enumeration Date: Jun 16, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 2810 DACY LN
City: Kyle
State: Texas
ZIP Code: 78640-6322
Phone: (210) 233-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary

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