Eric P Jacobi, DDS
Individual provider Active NPI General Practice Dentistry · Robesonia, PA
NPI 1093887341 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093887341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS020392L (PA)
- Practice address
- 105 W Penn Ave
Robesonia, PA 19551 - Phone
- (610) 693-6508
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS020392L | PA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS020392L | PA | Yes |
Addresses
Primary practice location
105 W Penn Ave
Robesonia, PA 19551
Mailing address
105 W Penn Ave
Robesonia, PA 19551
Phone (610) 693-6508
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DS020392L | Other | PA | DENTAL LICENSE COMMONWEAL |
Other providers in Robesonia, PA
- Vanessa Lynn Hagen
- Kimberly Alicia Haught
- Stacy Heckard
- Eric John Hoffmaster
- Alyssa Hottenstein
- Karen Elizabeth Keenan
- Elizabeth Sarah Keller
- Kevin Walter Krause
- Kathrine Lamm
- Elizabeth Lawrey
All providers in Robesonia, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.