T Gregory Jacobs DDS PA

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

T GREGORY JACOBS DDS PA

Practice address

4208 W Bay to Bay Blvd
Tampa, FL 33629-6608

Phone

(813) 657-3000

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

T Gregory Jacobs, DDS

Title

President Owner

Phone

(813) 310-9580

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1114143120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 W BAY TO BAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296608",
            "telephone_number": "813-657-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 W BAY TO BAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296608",
            "telephone_number": "813-657-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T GREGORY JACOBS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "T",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "813-310-9580",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthodontics in Tampa, FL
• Providers in Tampa, FL by specialty
• Prosthodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.