Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSANNA JACOB, D.D.S
ActiveDR. SUSANNA JACOB, D.D.S is a Dentist healthcare provider located in AMENIA, New York. NPI 1851775563 is currently active in the NPPES registry. Verify at CMS.
Dentist · AMENIA, NY
Registration Details
- NPI Number
- 1851775563
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2015 (11.083198006447 yrs)
- Last Updated
- Feb 5, 2016
- License
-
058297-1 (NY)
Practice Information
- Address
-
3360 ROUTE 343AMENIA, NY, 125015619Browse NY providers · Browse ZIP 12501
- Phone
- 8458387038
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in AMENIA, NY
| Name | Credential | NPI |
|---|---|---|
| DR. ALEXANDRA CERNASOV | DDS | 1689870776 |
| DR. ZHI WEI CHEUNG | DDS | 1477759553 |
| DERIK E STUCKER | DDS | 1336314400 |
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.