Individual provider · Type 1 NPI

Steven Gary Jacob, D.M.D

Dentist · Fort Wayne, IN

NPI number 1053570200 Active

Practice location

7210 Maplecrest Rd
Fort Wayne, IN 46835-1892

Fax (260) 485-8344

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X12010605A (IN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1053570200

Steven Gary Jacob, D.M.D's National Provider Identifier is 1053570200, issued on Jun 3, 2008. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jun 3, 2008.