Individual provider · Type 1 NPI

Jacob Nicolas Tice, DMD

Dentist · San Diego, CA

NPI number 1174190672 Active

Practice location

1975 Garnet Ave Ste E
San Diego, CA 92109-3594

Call (858) 866-0808 Map

Mailing address

7117 El Viento Way
Buena Park, CA 90620-2510

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	DDS106187 (CA)

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 1174190672

Jacob Nicolas Tice, DMD's National Provider Identifier is 1174190672, issued on Jun 4, 2021. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Diego, CA. The record was last updated on Jun 4, 2021.