Individual provider · Type 1 NPI
Bennett Jacoby
Periodontics · Lihue, HI
NPI number
1235331273
Active
Practice location
2978 Haleko Rd, Ste A
Lihue, HI 96766-1379
Mailing address
PO Box 75407294, Ste. A
Sioux Falls, SD 57186-1379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DT2112 (HI) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3 other providers at this address
About NPI 1235331273
Bennett Jacoby's National Provider Identifier is 1235331273, issued on Jun 1, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Lihue, HI. The record was last updated on Nov 7, 2016.