Jonathan Jacoby, DDS

Dentist · Joplin, MO

Individual Active NPI

NPI number 1023490893

Practice location

1411 S Range Line Rd
Joplin, MO 64801-5589
Phone
(417) 553-7377
Fax
(417) 553-7293

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NPI record

NPI
1023490893
Entity type
Individual (Type 1)
Enumeration date
June 29, 2015
Last updated
June 29, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2015016758 MO

About Dr. Jacoby

Jonathan Jacoby, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1411 S Range Line Rd, Joplin, MO 64801-5589. The NPI number 1023490893 was assigned on June 29, 2015 and the record was last updated on June 29, 2015.

Dr. Jacoby lists a license in the registry: #2015016758 (MO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Jacoby, DDS?

The NPI number is 1023490893.

What is the phone number of Dr. Jacoby?

The phone number listed for the practice location is (417) 553-7377.

Where is Dr. Jacoby located?

1411 S Range Line Rd, Joplin, MO 64801-5589.

What is the taxonomy code for Dr. Jacoby?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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