Robert B Jacob, Dds, Inc

LBN: Robert B Jacob, Dds, Inc
Robert B Jacob, Dds, Inc is an health care organization with primary practice located at 4617 Ruffner St Ste 200 , San Diego CA 92111-2284. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Robert B Jacob, Dds, Inc can be contacted via phone (858) 268-1006, or through Jacob, Robert B via phone (858) 268-1006.

Contact Information

Primary practice address
4617 Ruffner St Ste 200 San Diego CA 92111-2284
Phone: (858) 268-1006
Fax: (858) 268-5097
Website:
Map and Directions
Authorized official contact:
Name: Jacob, Robert B Doctor of Dental Surgery (DDS)
Phone: (858) 268-1006

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X B25912 California

Profile Details

NPI number 1992175699
LBN Legal business name Robert B Jacob, Dds, Inc
DBA Doing business as
Authorized official Jacob, Robert B Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2015
Last updated Oct 7th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992175699 NPPES
California MEDICAID B25912-01

Popular Providers