Joly Jacob, D.M.D., P.C.

LBN: Joly Jacob, D.M.D., P.C.
Joly Jacob, D.M.D., P.C. is an health care organization with primary practice located at 443 W Girard Ave , Philadelphia PA 19123-1454. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Joly Jacob, D.M.D., P.C. can be contacted via phone (215) 763-7985, or through Jacob, Joly via phone (215) 763-7985.

Contact Information

Primary practice address
443 W Girard Ave Philadelphia PA 19123-1454
Phone: (215) 763-7985
Fax: (215) 763-7987
Website:
Map and Directions
Authorized official contact:
Name: Jacob, Joly Doctor of Dental Medicine (DMD)
Phone: (215) 763-7985

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS030002L Pennsylvania

Profile Details

NPI number 1003088469
LBN Legal business name Joly Jacob, D.M.D., P.C.
DBA Doing business as
Authorized official Jacob, Joly Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2008
Last updated Mar 26th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003088469 NPPES
Pennsylvania MEDICAID 01641673

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