The Jacob Dental Group Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

THE JACOB DENTAL GROUP INC

Practice address

17 Old Kings Rd N
Suite H
Palm Coast, FL 32137-8282

Phone

(386) 445-6111

NPI assigned

Jul 20, 2016

Organization subpart

No

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

Authorized official

Name

Ronald F JacobNPI 1881808293

Title

Owner

Phone

(386) 445-6111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ronald F Jacob, DDS

  • Dentist
  • Palm Coast, FL
  • NPI 1881808293
  NPD (past) Authorized official

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1417300930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 OLD KINGS RD N",
            "address_2": "SUITE H",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378282",
            "telephone_number": "386-445-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 OLD KINGS RD N",
            "address_2": "SUITE H",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378282",
            "telephone_number": "386-445-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JACOB DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-445-6111"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Marie Taylor, LMHC
• Joseph Taylor
• Katherine E Taylor
• The Footwear Company LLC
• The Heart Center of Palm Coast, LLC
• Karen Christiane Theilade, MD
• Therapeutic Assisted Living Corp.
• Burton W Thomas III, CAP
• Melony Kay Thomas, D.C.
• Michelle Thomas, O.T.

• Dentist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.