Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BENNETT JACOBY
Active Sole ProprietorDR. BENNETT JACOBY is a Periodontology healthcare provider located in LIHUE, Hawaii. NPI 1235331273 is currently active in the NPPES registry. Verify at CMS.
Periodontology · LIHUE, HI
Registration Details
- NPI Number
- 1235331273
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2007 (19.232653703541 yrs)
- Last Updated
- Nov 7, 2016
- License
-
DT2112 (HI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2978 HALEKO RDSTE ALIHUE, HI, 967661379Browse HI providers · Browse ZIP 96766
- Phone
- 8082022060
- Primary Specialty
-
Periodontology
1223P0300X
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.