Joly Jacob, D.M.D., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS030002L Issued in PA

Legal business name

JOLY JACOB, D.M.D., P.C.

Practice address

443 W Girard Ave
Philadelphia, PA 19123-1454

Phone

(215) 763-7985

Fax

(215) 763-7987

NPI assigned

Mar 26, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joly Jacob, D.M.D.NPI 1558405241

Title

Owner / President

Phone

(215) 763-7985

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joly Jacob, D.M.D.

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1558405241
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1003088469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231454",
            "telephone_number": "215-763-7985",
            "fax_number": "215-763-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231454",
            "telephone_number": "215-763-7985",
            "fax_number": "215-763-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLY JACOB, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "JOLY",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "215-763-7985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030002L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01641673",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mallika U Jois, FNP
• Ethel Marie Claire Jolicoeur, M.SC., M.S.
• Meghan Elizabeth Jolikko
• Matthew A Jolley, M.D.
• Lisa Rebecca Jolly, DDS
• Jerry Jomi, M.D.
• Jomici Apothecary LLC
• Jomici Apothecary LLC
• Suilan Mercedes Jon del Rosario, RD
• Jonah Rosen Therapy

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.