MRS. TRACEY LEIGH JACOB RDH
NPI 1124507421
Dental Hygienist in Bloomfield Hills, MI

Q: What is Tracey Jacob's NPI number?

The NPI number for Tracey Jacob is 1124507421. It was assigned to this individual provider in the NPPES registry on August 8, 2018.

Q: What is Tracey Jacob's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracey Jacob was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 08, 2018

2850 BERKSHIRE DR, BLOOMFIELD HILLS, MI 48301(586) 489-9868 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Tracey Leigh Jacob Rdh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TRACEY LEIGH JACOB RDH (NPI 1124507421) is an individual dental hygienist in Bloomfield Hills, Michigan, licensed in Michigan (2902012495) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1124507421

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameMRS. TRACEY LEIGH JACOBCredential: RDH

Location Address2850 BERKSHIRE DRBloomfield Hills, MI 48301-3400

Mailing Address2850 Berkshire DrBloomfield Hills, MI 48301-3400 · (586) 489-9868

Phone(586) 489-9868

Sole ProprietorYes

Enumeration DateAugust 8, 2018

✔ NPI 1124507421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in MI · 2902012495

Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

2850 BERKSHIRE DR, Bloomfield Hills, MI 48301

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracey Jacob's NPI number?

The NPI number for Tracey Jacob is 1124507421. It was assigned to this individual provider in the NPPES registry on August 8, 2018.

Where is Tracey Jacob located?

Tracey Jacob practices at 2850 Berkshire Dr, Bloomfield Hills, MI 48301. The listed phone number is (586) 489-9868.

What is Tracey Jacob's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Tracey Jacob was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.