Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA SUSAN JACOB, D.D.S.
ActiveLISA SUSAN JACOB, D.D.S. is a Pediatric Dentistry healthcare provider located in KYLE, Texas. NPI 1386688331 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · KYLE, TX
Registration Details
- NPI Number
- 1386688331
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 16, 2006 (20.152578448416 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
19077 (TX)19077 (TX)19077 (TX)
Practice Information
- Address
-
2810 DACY LNKYLE, TX, 786406322Browse TX providers · Browse ZIP 78640
- Phone
- 2102337000
- Fax
- 5122682253
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in KYLE, TX
| Name | Credential | NPI |
|---|---|---|
| ALEXANDRA ANYEN CHEN | DDS, MS | 1407417959 |
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.