Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GREGG ANDREW JACOB, D.M.D.
Active Sole ProprietorDR. GREGG ANDREW JACOB, D.M.D. is a Oral & Maxillofacial Surgery healthcare provider located in FLORHAM PARK, New Jersey. NPI 1164540233 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · FLORHAM PARK, NJ
Registration Details
- NPI Number
- 1164540233
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2007 (19.426021223473 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
22DI02252800 (NJ)054217-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
83 HANOVER RD STE 240FLORHAM PARK, NJ, 079321508Browse NJ providers · Browse ZIP 07932
- Phone
- 9733601100
- Fax
- 9733601101
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
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.