Provider Demographics
NPI:1336306638
Name:JACOBY & MORRIS DDS
Entity Type:Organization
Organization Name:JACOBY & MORRIS DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:JACOBY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-652-7711
Mailing Address - Street 1:119 FIRST ST
Mailing Address - Street 2:
Mailing Address - City:HO HO KUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07423-1575
Mailing Address - Country:US
Mailing Address - Phone:201-652-7711
Mailing Address - Fax:201-652-7350
Practice Address - Street 1:119 FIRST ST
Practice Address - Street 2:
Practice Address - City:HO HO KUS
Practice Address - State:NJ
Practice Address - Zip Code:07423-1575
Practice Address - Country:US
Practice Address - Phone:201-652-7711
Practice Address - Fax:201-652-7350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty