DR. STACEY LYNN JACOBS DMD NPI 1881611390

NPI Information

NPI: 1881611390
Provider Name: DR. STACEY LYNN JACOBS, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
19 BROADWAY
NEWPORT, RI
ZIP 02840
Phone: (401) 845-0564
Get Directions

DR. Stacey Lynn Jacobs, DMD is a general practice dentist in Newport, RI. The provider is 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. DR. Stacey Lynn Jacobs, DMD NPI is 1881611390. 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:

19 BROADWAY
NEWPORT, RI
ZIP 02840-937
Phone: (401) 845-0564
Fax: (401) 847-4245

The enumeration date for this NPI number is 7/17/2006 and was last updated on 9/26/2011.

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	1223G0001X	Dentist	General Practice	DEN02937	RHODE ISLAND	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	1223G0001X	OTHER	RHODE ISLAND	TAXONOMY NUMBER
2	JS61781	MEDICAID	RHODE ISLAND
3	1881611390	OTHER	RHODE ISLAND	NPI NUMBER

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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