DR. SAM F. JACOBY (NPI# 1184835183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184835183 |
| Entity Type | Individual |
| Full Name | DR. SAM F. JACOBY |
| Credential | D.D.S. |
| Practice Address |
1006 Main Street Bridgeport NE 69336-0864 |
| Mailing Address |
1006 Main Street P.o. Box 864 Bridgeport NE 69336-0864 |
| Practice Telephone | 3082621434 |
| Practice Fax Number | 3082621436 |
| Mailing Telephone | 3082621434 |
| Mailing Fax Number | 3082621436 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 105307 | CO | Dental Providers |
| Y | 122300000X | Dentist | 4650 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47-071304413 | 05 |
| Street Address |
1006 MAIN STREET |
| City | BRIDGEPORT |
| State | NE |
| Zip Code | 69336-0864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477608610 | Alliance Vision Source, P.C. | Optometrist | 921 Main Street, Bridgeport, NE 69336 | 2007-01-25 |
| 1497816680 | J & J Nein LLC | Pharmacy | 1012 Main St, Bridgeport, NE 69336 | 2006-12-12 |
| 1790977148 | Shawn Michael Berry | Physical Therapy Assistant | 505 Q St, Heritage of Bridgeport, Bridgeport, NE 69336-0081 | 2007-08-09 |
| 1093088155 | Amy Dawn Craig | Licensed Practical Nurse | 1014 N St, Bridgeport, NE 69336-0101 | 2012-02-20 |
| 1154433068 | James David Nein | Pharmacist | 1013 Main St, Bridgeport, NE 69336-0141 | 2006-08-31 |
| 1639449333 | Carrie C Martinson | Specialist | 1313 S St, Bridgeport, NE 69336-0579 | 2012-01-11 |
| 1356420806 | Christensen Chiropractic Clinic, P.C. | Clinic/Center | 805 Main Street, Bridgeport, NE 69336-0759 | 2006-11-03 |
| 1003260126 | Lisa Lussetto | Speech-Language Pathologist | 800 Q St, Bridgeport, NE 69336-2519 | 2016-04-14 |
| 1114572377 | Brittany Beth Norman | Registered Nurse | 800 Q St, Bridgeport, NE 69336-2519 | 2019-08-05 |
| 1356821276 | Sarah Nicole Brenner | Physical Therapist | 800 Q St, Bridgeport, NE 69336-2519 | 2018-08-20 |
| Find all providers in zip 69336 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672843 | Adam M. Grubler Dds, Pllc | Dentist | 1160 Johnson Ave Ste 104, Bridgeport, WV 26330-1487 | 2019-11-06 |
| 1982149522 | Ghorbani - Mohammadi Dental P.C. | Dentist | 2676 E Main St, Columbia Dental, Bridgeport, CT 06610-1422 | 2017-01-05 |
| 1790169613 | Victor Esmeraldo | Dentist | 1808 Chico Hwy, Bridgeport, TX 76426 | 2015-07-10 |
| 1548666142 | Awesome Smiles | Dentist | 1163 E Main St, Bridgeport, CT 06608-1620 | 2014-11-08 |
| 1932521473 | Anthony Santostefano | Dentist | 594 Pequonnock Street, Bridgeport, CT 06604 | 2014-01-18 |
| 1891092276 | Rita Bobb-rollins, Dds, Ltd. | Dentist | 102 Tolley Dr, Bridgeport, WV 26330-1668 | 2011-02-19 |
| 1063728285 | Jeremy F Bell | Dentist | 2260 North Ave, Bridgeport, CT 06604-2413 | 2010-08-25 |
| 1093034621 | Northeast Dental Solutions LLC | Dentist | 56 Harriet St, First Floor, Bridgeport, CT 06608-2131 | 2010-05-21 |
| 1578704789 | Angelo Michael Guerrera | Dentist | 2979 Madison Ave, Bridgeport, CT 06606-2060 | 2009-03-18 |
| 1700032042 | Ezro Leviyev | Dentist | 665 Clinton Ave, Bridgeport, CT 06605-1711 | 2008-08-18 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 69336 |
Please comment or provide details below to improve the information on DR. SAM F. JACOBY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.