Individual provider · Type 1 NPI

Mary Jacob, DMD

General Practice Dentistry · Revere, MA

NPI number 1124537667 Active

Practice location

334 Broadway
Revere, MA 02151-5016

Call (178) 162-9624 Map

Mailing address

99 Florence Street, Apt 102
Malden, MA 02148

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN1857754 (MA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1124537667

Mary Jacob, DMD's National Provider Identifier is 1124537667, issued on Sep 27, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Revere, MA. The record was last updated on Sep 27, 2017.