Provider Demographics
NPI:1811366107
Name:HYER, JACOB BRIMHALL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JACOB
Middle Name:BRIMHALL
Last Name:HYER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 EDWARDS MILL RD STE 103
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-5303
Mailing Address - Country:US
Mailing Address - Phone:919-571-0222
Mailing Address - Fax:919-571-0221
Practice Address - Street 1:3101 EDWARDS MILL RD STE 103
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-5303
Practice Address - Country:US
Practice Address - Phone:919-571-0222
Practice Address - Fax:919-571-0221
Is Sole Proprietor?:No
Enumeration Date:2015-09-17
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11323122300000X
CA65096122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist