DR. Jacob A Deniakos, D.D.S.

NPI #1679973879 in Maxwell Afb, Alabama

Provider Information

NPI Number: 1679973879
Entity Type: Individual
Name: DR. Jacob A Deniakos, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 26, 2014
Last Updated: Aug 27, 2015

Practice Location

Address: 300 S. TWINING STREET, BLDG 760
Address 2: 42D MEDICAL GROUP
City: Maxwell Afb
State: Alabama
ZIP Code: 36112
Phone: (334) 953-8607

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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