Gotta Smile Dentistry

LBN: Pablo Jacobo Dds, Inc
Gotta Smile Dentistry is an health care organization with primary practice located at 1035 W Robinhood Dr Suite 200, Stockton CA 95207-5621. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is the primary health care specialty. Pablo Jacobo Dds, Inc can be contacted via phone (209) 952-3687, or through Jacobo, Carlos via phone (209) 952-3687.

Contact Information

Primary practice address
1035 W Robinhood Dr Suite 200 Stockton CA 95207-5621
Phone: (209) 952-3687
Fax: (209) 952-6267
Website:
Map and Directions
Authorized official contact:
Name: Jacobo, Carlos
Phone: (209) 952-3687

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 61240 California
Dental Providers / Dentist 122300000X 100679 California
Dental Providers / General Practice 1223G0001X 38433 California
Dental Providers / General Practice 1223G0001X 60929 California

Profile Details

NPI number 1508124074
LBN Legal business name Pablo Jacobo Dds, Inc
DBA Doing business as Gotta Smile Dentistry
Authorized official Jacobo, Carlos
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2012
Last updated Sep 20th, 2016 - about 8 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 1508124074 NPPES
California Other 38433 CA DENTAL STATE BOARD
California Other 61240 CA DENTAL STATE BOARD
California Other 60929 CA DENTAL STATE BOARD
California Other 100679 CA DENTAL STATE BOARD

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