Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS GERHARD JACOBY, DMD
Active Sole ProprietorDentist · MILLTOWN, NJ
Registration Details
- NPI Number
- 1639213853
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 19, 2007 (19.218126822559 yrs)
- Last Updated
- Aug 3, 2009
- Licenses
-
0440881 (NY)D18148 (NJ)044088 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
133B SOUTH MAIN STREETMILLTOWN, NJ, 08850Browse NJ providers · Browse ZIP 08850
- Phone
- 7325459009
- Fax
- 7325459193
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
- Additional Specialty
- Dentist
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.