Provider Demographics
NPI:1235417882
Name:ENGLAND, JACOB JAMES C (DDS)
Entity Type:Individual
Prefix:DR
First Name:JACOB
Middle Name:JAMES C
Last Name:ENGLAND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BLDG 9900 LINCOLN STREET
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431
Mailing Address - Country:US
Mailing Address - Phone:253-968-4035
Mailing Address - Fax:
Practice Address - Street 1:BUILDING 683
Practice Address - Street 2:WAIANAE
Practice Address - City:SCHOFIELD BARRACKS
Practice Address - State:HI
Practice Address - Zip Code:96786-0001
Practice Address - Country:US
Practice Address - Phone:812-760-1879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011670A1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics