Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TESSIE JACOB, DDS
Active Sole ProprietorDR. TESSIE JACOB, DDS is a General Dentistry healthcare provider located in SOUTHINGTON, Connecticut. NPI 1477937183 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SOUTHINGTON, CT
Registration Details
- NPI Number
- 1477937183
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2015 (11.093823215743 yrs)
- Last Updated
- Jul 1, 2020
- Licenses
-
11465 (CT)11465 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1131 WEST STREETBUILDING#1 SUITE#5SOUTHINGTON, CT, 064896006Browse CT providers · Browse ZIP 06489
- Phone
- 8604146897
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in SOUTHINGTON, CT
| Name | Credential | NPI |
|---|---|---|
| DR. JACK ALKON | D.M.D. | 1104820505 |
| DR. THEODORE WALTER ZDEBLICK | DDS | 1336256536 |
| DR. RICHARD CLEMENT AUDET | DMD | 1508933524 |
| DR. RICHARD M. SCIMONELLI | D.D.S. | 1871660191 |
| DR. WILLIAM HENRY WELCH III | D.D.S. | 1992844807 |
| DR. RICHARD DEAN RIDDLE II | D.M.D. | 1972642924 |
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.