Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB NICOLAS TICE, DMD
Active Sole ProprietorDR. JACOB NICOLAS TICE, DMD is a Dentist healthcare provider located in SAN DIEGO, California. NPI 1174190672 is currently active in the NPPES registry. Verify at CMS.
Dentist · SAN DIEGO, CA
Registration Details
- NPI Number
- 1174190672
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 4, 2021 (5.1961705523037 yrs)
- Last Updated
- Jun 4, 2021
- License
-
DDS106187 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1975 GARNET AVE STE ESAN DIEGO, CA, 921093594Browse CA providers · Browse ZIP 92109
- Phone
- 8588660808
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ELSA BETTINA DEMBINSKI | DDS | 1588657613 |
| STEVEN D. NYTKO | D.D.S. | 1881687325 |
| DR. ARTHUR E MILLER | DDS | 1598756249 |
| DR. JEROME NEREZ RAGADIO | D.D.S. | 1043295678 |
| DR. WAYNE B LAPETODA | DMD | 1003892688 |
| DR. JOHN WATSON BERRIDGE | DDS | 1982681144 |
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.