DR. Gregory S Jacob, DDS

NPI #1992795710 in Glenview, Illinois

Provider Information

NPI Number: 1992795710
Entity Type: Individual
Name: DR. Gregory S Jacob, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 24, 2005
Last Updated: Mar 29, 2024

Practice Location

Address: 2400 RAVINE WAY
Address 2: STE 500
City: Glenview
State: Illinois
ZIP Code: 60025-7652
Phone: (847) 509-1990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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