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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB POURAT, DDS MS

Active Sole Proprietor

JACOB POURAT, DDS MS is a Dentist healthcare provider located in FORT LEE, New Jersey. NPI 1093447732 is currently active in the NPPES registry. Verify at CMS.

Dentist · FORT LEE, NJ

Registration Details

NPI Number
1093447732
Provider Type
Individual
Gender
Male
NPI Issued
Jun 30, 2022 (4.0818887352548 yrs)
Last Updated
Jun 30, 2022
License
22DI02914400 (NJ)
Sole Proprietor
Yes

Practice Information

Address
1137 PALISADE AVE
FORT LEE, NJ, 070246427
Browse NJ providers · Browse ZIP 07024
Phone
2012248180
Primary Specialty
Dentist
122300000X

Other Dentist Providers in FORT LEE, NJ

Name Credential NPI
DR. DAVID JIN D.D.S. 1255334165
JULIA IGDALEV DDS 1417950171
DR. JOON H. HONG DDS 1750360582
DR. STEVEN M HABER 1104834001
DR. DAVID W ROSEN D.D.S. 1336239417
ANDREW CHUNGSUP BAE D.D.S 1992859862
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.