T GREGORY JACOBS DDS PA NPI 1114143120

NPI Information

T GREGORY JACOBS DDS PA is a prosthodontics dentist in Tampa, FL. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. T GREGORY JACOBS DDS PA NPI is 1114143120. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4208 W BAY TO BAY BLVD
TAMPA, FL
ZIP 33629-608
Phone: (813) 657-3000

The provider's authorized official is T Gregory Jacobs .
The authorized official title is President Owner and has the following contact phone number (813) 310-9580.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 1/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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