Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAM F. JACOBY, D.D.S.
Active Sole ProprietorDR. SAM F. JACOBY, D.D.S. is a Dentist healthcare provider located in BRIDGEPORT, Nebraska. NPI 1184835183 is currently active in the NPPES registry. Verify at CMS.
Dentist · BRIDGEPORT, NE
Registration Details
- NPI Number
- 1184835183
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2007 (19.081463960151 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
4650 (NE)105307 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1006 MAIN STREETBRIDGEPORT, NE, 693360864Browse NE providers · Browse ZIP 69336
- Phone
- 3082621434
- Fax
- 3082621436
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in BRIDGEPORT, NE
| Name | Credential | NPI |
|---|---|---|
| BENJAMIN ROBERT ISKE | — | 1700292588 |
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.