Jerrold Ted Jacob, D.M.D.
NPI #1427170828 in Belleville, New Jersey
Provider Information
- NPI Number
- 1427170828
- Entity Type
- Individual
- Name
- Jerrold Ted Jacob, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Apr 4, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 484 WASHINGTON AVE
- City
- Belleville
- State
- New Jersey
- ZIP Code
- 07109-2688
- Phone
- (973) 759-1010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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