Individual provider · Type 1 NPI

Andrew Jacob, DDS

General Practice Dentistry · Green Bay, WI

NPI number 1851213326 Active

Practice location

1401 Kingston Ter
Green Bay, WI 54302-5405

Call (920) 465-4477 Map

Fax (920) 465-4479

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X6002270-15 (WI)

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 1851213326

Andrew Jacob, DDS's National Provider Identifier is 1851213326, issued on Jul 28, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Green Bay, WI. The record was last updated on Jul 28, 2026.