Thomas Gregory Jacobs, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

10313 Issued in FL

Practice address

1601 Rickenbacker Dr
Suite #7
Sun City Center, FL 33573

Phone

(813) 634-1932

Fax

(813) 634-8612

NPI assigned

Apr 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• T Gregory Jacobs Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jacobs and Thatcher Dentistry, PLLC

  • General Practice Dentistry
  • Sun City Center, FL
  • NPI 1407244189
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1689893463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 RICKENBACKER DR",
            "address_2": "SUITE #7",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "33573",
            "telephone_number": "813-634-1932",
            "fax_number": "813-634-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 RICKENBACKER DR",
            "address_2": "SUITE #7",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "33573",
            "telephone_number": "813-634-1932",
            "fax_number": "813-634-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "THOMAS",
        "middle_name": "GREGORY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "10313",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "10313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "T",
            "last_name": "JACOBS",
            "middle_name": "GREGORY",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Integrative Surgical Associates, LLC
• Ruben Daniel Irizarry, PHARM.D.
• Edward G Izzo Jr., MD
• Jordan Van Jackson, DO
• Jacobs and Thatcher Dentistry, PLLC
• Deepali Yogendrabhai Jain, M.D.
• Jaslinks Home Health Inc
• Javed Hafeez, M.D., P.a.
• Diane Louise Jeffery, M.D.
• John Cottam MD PA

• Prosthodontics in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Prosthodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.