DR. JACOB MATTHEW PACK (NPI# 1699116004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699116004 |
| Entity Type | Individual |
| Full Name | DR. JACOB MATTHEW PACK |
| Credential | DDS |
| Practice Address |
5843 Sw 85th St Gainesville FL 32608-8526 |
| Practice Telephone | 6197872148 |
| Mailing Telephone | 6197872148 |
| Enumeration Date | 2013-07-13 |
| Last Update Date | 2013-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
1227 | FL | Dental Providers |
| Street Address |
5843 SW 85TH ST |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32608-8526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426758 | Earlene Mae Anderson | Technician | 7770 Sw 47th Lane, Gainesville, FL 32608 | 2019-09-19 |
| 1588214720 | Jimmie Lee Crawford | Technician | 7427 Sw 63rd Terrace, Gainesville, FL 32608 | 2019-09-19 |
| 1306495346 | Lori Turbow | Technician | 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 | 2019-09-11 |
| 1285281527 | Advance Best Care Medical Services LLC | In Home Supportive Care | 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 | 2019-08-21 |
| 1669948097 | Eric Scott Traub | Genetic Counselor, MS | 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 | 2018-10-24 |
| 1457834053 | Riverswarmingtouch LLC | Adult Companion | 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 | 2018-09-10 |
| 1811481252 | Anthony Farmer | Dentist | 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 | 2018-06-19 |
| 1184112823 | Zoraida Vazquez | Early Intervention Provider Agency | 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 | 2018-04-27 |
| 1942739214 | Brittany R Brown | Homemaker | 2908 Sw 38th Place, Gainesville, FL 32608 | 2017-06-08 |
| 1639605801 | Touch of Care,llc | Home Health | 6040 Sw 63rd Blvd, Gainesville, FL 32608 | 2017-05-10 |
| Find all providers in zip 32608 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396395919 | Stephen L. Goldfaden, Dds,pa | Dentist | 1905 Nw 13th St Ste 2, Gainesville, FL 32609-3414 | 2019-09-16 |
| 1093121857 | Sidni Manne | Dentist | 2360 Sw Archer Rd Apt 612, Gainesville, FL 32608-1016 | 2014-07-01 |
| 1881940807 | Maha Alghofaily | Dentist | 3700 Windmeadows Blvd, Apt # 283, Gainesville, FL 32608-7698 | 2012-07-27 |
| 1700131737 | Thomas Patrick Currie | Dentist | 1185 Sw 9th Rd Apt 402, Gainesville, FL 32601-8280 | 2012-07-16 |
| 1881959609 | Kevin Paul Nygard | Dentist | 1395 Center Dr # D7-19, Gainesville, FL 32610-0406 | 2012-07-09 |
| 1427345750 | Deema Maria Saad | Dentist | 701 Sw 62nd Blvd, #113, Gainesville, FL 32607-6012 | 2011-07-07 |
| 1598801037 | Michael R Pichardo | Dentist | 7915 Lake Manassas Dr Ste 203, Gainesville, VA 20155-3259 | 2007-01-30 |
| 1417014457 | Stephen L Goldfaden | Dentist | 1905 Nw 13th St, Gainesville, FL 32609-3414 | 2007-01-02 |
| 1548325343 | Frederick L Cox | Dentist | 3620 Nw 43rd St, Gainesville, FL 32606-8103 | 2006-12-22 |
| 1154421105 | Glenn Stewart Dean | Dentist | 340 Nw 76th Dr, Gainesville, FL 32607-1593 | 2006-09-22 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32608 |
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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.