Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TRACEY LEIGH JACOB, RDH
Active Sole ProprietorMRS. TRACEY LEIGH JACOB, RDH is a Dental Hygienist healthcare provider located in BLOOMFIELD HILLS, Michigan. NPI 1124507421 is currently active in the NPPES registry. Verify at CMS.
Dental Hygienist · BLOOMFIELD HILLS, MI
Registration Details
- NPI Number
- 1124507421
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 8, 2018 (8.011500874856 yrs)
- Last Updated
- Aug 8, 2018
- License
-
2902012495 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2850 BERKSHIRE DRBLOOMFIELD HILLS, MI, 483013400Browse MI providers · Browse ZIP 48301
- Phone
- 5864899868
- Primary Specialty
-
Dental Hygienist
124Q00000X
Other Dental Hygienist Providers in BLOOMFIELD HILLS, MI
| Name | Credential | NPI |
|---|---|---|
| BEVERLY ANN GROSS | RDH | 1255853669 |
| DARLEEN A DALALY | — | 1437913613 |
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.