Sam F. Jacoby D.D.S.

NPI 1184835183 - Dentist - 122300000X

NPI Details
NPI 1184835183
Gender Male
Enumeration Date 05/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1006 MAIN STREET
BRIDGEPORT NE, 69336-0864, US
Phone (308) 262-1434
Fax (308) 262-1436
Business Location
1006 MAIN STREET
P.O. BOX 864
BRIDGEPORT NE, 69336-0864, US
Phone (308) 262-1434
Fax (308) 262-1436
Toxanomy
Taxonomy Code 122300000X
License State Colorado
License Number 105307
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According to our database, Dr. Sam F. Jacoby D.D.S. NPI is 1184835183, taxonomy code is 122300000X and license number is 105307, license state is located at Colorado. Sam F. Jacoby D.D.S. physically located at 1006 Main Street, Bridgeport NE, 69336-0864. NPI Number Sam F. Jacoby D.D.S. has the Individual type.

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1184835183 NPI number is provided on an as is basis without warranty of any kind. 1184835183 is maintained by the National Plan & Provider Enumeration System. The contents of Sam F. Jacoby D.D.S. are for informational purposes only.