Reshma Jacob, DDS, MS
Dentist, General Practice in New York, NY. Individual provider (NPI-1).
NPI number1982835948
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982835948
- Entity type
- Individual (NPI-1)
- Name
- Reshma Jacob
- Credential
- DDS, MS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2009
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 055895 | NY | Yes |
| 1223G0001X | Dentist, General Practice | 0401412577 | VA |
Practice location
425 Madison Ave Rm 1800New York, NY 10017-1152
Phone 212-868-4657 · Fax 212-704-8355
Mailing address
425 Madison Ave Rm 1800New York, NY 10017-1152
Phone 212-868-4657 · Fax 212-704-8355
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