Sam F. Jacoby, D.D.S.

Dentist · Bridgeport, NE

Individual Active NPI

NPI number 1184835183

Practice location

1006 Main Street
Bridgeport, NE 69336-0864
Phone
(308) 262-1434
Fax
(308) 262-1436

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NPI record

NPI
1184835183
Entity type
Individual (Type 1)
Enumeration date
May 24, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 4650 NE
Dentist 122300000X 105307 CO

Mailing address

1006 Main Street
P.O. Box 864
Bridgeport, NE 69336-0864
Phone
(308) 262-1434
Fax
(308) 262-1436

About Dr. Jacoby

Sam F. Jacoby, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1006 Main Street, Bridgeport, NE 69336-0864. The NPI number 1184835183 was assigned on May 24, 2007 and the record was last updated on July 8, 2007.

Dr. Jacoby lists 2 licenses in the registry: #4650 (NE) for Dentist; #105307 (CO) 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 Sam F. Jacoby, D.D.S.?

The NPI number is 1184835183.

What is the phone number of Dr. Jacoby?

The phone number listed for the practice location is (308) 262-1434.

Where is Dr. Jacoby located?

1006 Main Street, Bridgeport, NE 69336-0864.

What is the taxonomy code for Dr. Jacoby?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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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