Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY JACOB, DMD
Active Sole ProprietorDR. MARY JACOB, DMD is a General Dentistry healthcare provider located in REVERE, Massachusetts. NPI 1124537667 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · REVERE, MA
Registration Details
- NPI Number
- 1124537667
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2017 (8.6983505415841 yrs)
- Last Updated
- Sep 27, 2017
- License
-
DN1857754 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
334 BROADWAYREVERE, MA, 021515016Browse MA providers · Browse ZIP 02151
- Phone
- 1781629624
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in REVERE, MA
| Name | Credential | NPI |
|---|---|---|
| DR. ERNEST F POWERS JR. | DMD | 1861442394 |
| MICHAEL J BOSCHETTI | D.M.D. | 1760411821 |
| JOHN BENECCHI | D.M.D. | 1568577864 |
| BORIS BACANURSCHI | D.M.D. | 1447365663 |
| DR. EVELYN A PENNACCHIO | DMD | 1083721690 |
| DR. JOHN F ANNESE | DMD | 1255433959 |
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.