DR. JACOB JOHN (NPI# 1235385055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235385055 |
| Entity Type | Individual |
| Full Name | DR. JACOB JOHN |
| Credential | DDS |
| Practice Address |
37 Triangle Rd Liberty NY 12754-3371 |
| Mailing Address |
701 Bloodgood Ct Central Valley NY 10917-3626 |
| Practice Telephone | 8452923900 |
| Mailing Telephone | 9177423081 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 054091 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NEW YORK STATE DENTAL LICENSE | 054091 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427543 | Jacob John | Physician Assistant | 8301 Skokie Blvd, Skokie, IL 60077-2546 | 2018-12-02 |
| 1821435751 | Jacob C John | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2013-06-02 |
| 1285909283 | Jacob Puthenparampil John | Registered Nurse | 2215 Fuller Rd, 111 (i), Ann Arbor, MI 48105-2303 | 2012-03-09 |
| Street Address |
37 TRIANGLE RD |
| City | LIBERTY |
| State | NY |
| Zip Code | 12754-3371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245529874 | Exceldent Dental of Western Sullivan LLP | Dentist | 37 Triangle Rd, Liberty, NY 12754 | 2011-04-05 |
| 1033340021 | David Seung Hee Yoon | Dentist | 37 Triangle Rd, Liberty, NY 12754-3371 | 2009-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060749 | Tiffany Anne Huebsch | Registered Nurse | 52 Ferndale Loomis Rd, Liberty, NY 12754 | 2018-10-30 |
| 1548744667 | Nicole Rose | Case Manager/Care Coordinator | 50 Community Lane, Liberty, NY 12754 | 2018-09-25 |
| 1073093035 | Gelsomino and Davis Speech and Occupational Therapy | Case Management | 5 Triangle Rd Ste C, Liberty, NY 12754 | 2018-08-20 |
| 1063952935 | Kathleen F Brandt | Chiropractor | 10 Hanofee Dr., Liberty, NY 12754 | 2017-02-27 |
| 1437401924 | Shannon Marie Ostrander | Social Worker | 20 Commmunity Lane, Liberty, NY 12754 | 2012-10-08 |
| 1962788554 | Jill M Holland | Occupational Therapy Assistant | 6 Weirk Ave, Liberty, NY 12754 | 2011-10-26 |
| 1962653790 | Sylvie B Acoulon | Social Worker | 20 Community Services, Liberty, NY 12754 | 2008-10-10 |
| 1568680767 | Melanie A Cavrell | Social Worker | 76 Nature Lake Rd Ofc, Liberty, NY 12754 | 2007-04-23 |
| 1922015817 | Helen Marian Burke | Advanced Practice Midwife | 23 High Street, Monticello, NY 12754 | 2006-08-02 |
| 1427087105 | Town of Liberty Volunteer Ambulance Corps Inc | Ambulance | 178 Mill St, Liberty, NY 12754 | 2006-07-03 |
| Find all providers in zip 12754 | ||||
| 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 |
|---|---|---|---|---|
| 1043617277 | Smiles To Go, LLC | Dentist | 214 Claiborne St, Liberty, MS 39645-8179 | 2014-12-03 |
| 1437570942 | Liberty Smiles, Pllc | Dentist | 2129 Highway 146 Byp Ste A, Liberty, TX 77575-6000 | 2013-12-31 |
| 1780970327 | John A Deakins | Dentist | 6 Victory Ln Ste 1, Liberty, MO 64068-3805 | 2011-06-22 |
| 1174798078 | Dr. Michele Beeler, D.m.d., Pllc | Dentist | 650 Whipp Avenue, Liberty, KY 42539 | 2008-04-23 |
| 1932327236 | Mark Bryan Beard | Dentist | 6 Victory Lane, Liberty, MO 64068 | 2007-04-23 |
| 1679631022 | Daniel Thomas Colgan | Dentist | 115 Blue Jay Dr, Ste 104, Liberty, MO 64068 | 2006-12-05 |
| 1164599452 | Keith D Johnson Dds PC | Dentist | 26 S Village Drive, Liberty, MO 64068 | 2006-11-29 |
| 1780750307 | Edward William Whiteman | Dentist | 103 Clayview Dr, Liberty, MO 64068 | 2006-11-27 |
| 1992879787 | Highland Dental Clinic LLC | Dentist | 200 N Forest Ave, Liberty, MO 64068-1070 | 2006-11-20 |
| 1336210723 | Thomas Edgar Butler Jr. | Dentist | 524 N Greensboro St, Liberty, NC 27298 | 2006-11-10 |
| Find all providers in LIBERTY | ||||
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| 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.