Jerrold T. Jacob D.m.d., P.a.

NPI #1699897009 in Belleville, New Jersey

Provider Information

NPI Number
1699897009
Entity Type
Organization
Organization Name
Jerrold T. Jacob D.m.d., P.a.
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 4, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
484 WASHINGTON AVE
ZIP Code
07109-2688
Phone
(973) 759-1010

Authorized Official

Name
DR. JERROLD TED JACOB, D.M.D.
Title
PRESIDENT
Phone
(973) 759-1010

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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