Individual provider · Type 1 NPI

Lisa Susan Jacob, DDS

Pediatric Dentistry · Kyle, TX

NPI number 1386688331 Active

Practice location

2810 Dacy Ln
Kyle, TX 78640-6322

Call (210) 233-7000 Map

Fax (512) 268-2253

Mailing address

1301 Barbara Jordan Blvd Ste 301
Austin, TX 78723-3078

Other practice locations

  • 1301 Barbara Jordan Blvd, Suite 307, Austin, TX 78723-3077 · (512) 324-9999

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X19077 (TX)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X19077 (TX)
Pediatric Dentistry Primary 1223P0221X19077 (TX)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

26 other providers at this address

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About NPI 1386688331

Lisa Susan Jacob, DDS's National Provider Identifier is 1386688331, issued on Jun 16, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Kyle, TX. The record was last updated on Sep 11, 2025.