DR. Timothy Lee Jacobs, DDS
NPI #1609951458 in Grand Island, Nebraska
Provider Information
- NPI Number
- 1609951458
- Entity Type
- Individual
- Name
- DR. Timothy Lee Jacobs, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2916 W STOLLEY PARK RD
- Address 2
- SUITE B
- City
- Grand Island
- State
- Nebraska
- ZIP Code
- 68801-6807
- Phone
- (308) 382-6660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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