Mack Jacob, DDS
Dentist · Berkeley, CA
Practice location
2012 Prince StBerkeley, CA 94703-2519
- Phone
- (510) 843-8568
- Fax
- (510) 843-4448
NPI record
- NPI
- 1194845784
- Entity type
- Individual (Type 1)
- Enumeration date
- March 29, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
38432 | CA |
About Dr. Jacob
Mack Jacob, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2012 Prince St, Berkeley, CA 94703-2519. The NPI number 1194845784 was assigned on March 29, 2007 and the record was last updated on July 8, 2007.
Dr. Jacob lists a license in the registry: #38432 (CA) 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 Mack Jacob, DDS?
The NPI number is 1194845784.
What is the phone number of Dr. Jacob?
The phone number listed for the practice location is (510) 843-8568.
Where is Dr. Jacob located?
2012 Prince St, Berkeley, CA 94703-2519.
What is the taxonomy code for Dr. Jacob?
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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