SHERIDA DAWN JACOBS DMD NPI 1770640997

NPI Information

NPI: 1770640997
Provider Name: SHERIDA DAWN JACOBS, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
4132 ARKWRIGHT RD
MACON, GA
ZIP 31210
Phone: (478) 405-7797
Get Directions

Sherida Dawn Jacobs, DMD is a pediatric dentistry dentist in Macon, GA. The provider is 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. Sherida Dawn Jacobs, DMD NPI is 1770640997. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4132 ARKWRIGHT RD
MACON, GA
ZIP 31210-707
Phone: (478) 405-7797

The enumeration date for this NPI number is 1/3/2007 and was last updated on 7/9/2007.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	DN011696	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	168140	OTHER	GEORGIA	DORAL PAYEE #
2	39416	OTHER	GEORGIA	AVESIS VENDOR #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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