DR. JEFFREY T JACOB DMD
NPI 1568693570
Dentist in Medford, OR

Q: What is Jeffrey Jacob's NPI number?

The NPI number for Jeffrey Jacob is 1568693570. It was assigned to this individual provider in the NPPES registry on August 7, 2009.

Q: What is Jeffrey Jacob's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Jacob was last updated on July 3, 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 07, 2009

906 ROYAL CT, MEDFORD, OR 97504(541) 414-0519(541) 842-7774 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2018, Jun 29, 2018 (2 updates tracked since 2018).

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About Dr. Jeffrey T Jacob Dmd NPPES

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

DR. JEFFREY T JACOB DMD (NPI 1568693570) is an individual dentist in Medford, Oregon, licensed in Oregon (D10806) and active in the NPI registry since August 2009. He maintains a secondary practice location in Marion.

NPPES Registry Identity

NPI1568693570

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JEFFREY T JACOBCredential: DMD

Location Address906 ROYAL CTMedford, OR 97504

Mailing Address1000 E Main StMedford, OR 97504-7667 · (541) 414-0519 · Fax (541) 842-7774

Phone(541) 414-0519

Fax(541) 842-7774

Sole ProprietorNo

Enumeration DateAugust 7, 2009

Last NPPES UpdateJuly 3, 20182 updates tracked since enumeration

✔ NPI 1568693570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D10806

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

906 ROYAL CT, Medford, OR 97504

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Secondary Practice Location 1

Location 11501 S Carbon StMarion, IL 62959-1435 · Phone (618) 997-7273 · Fax (618) 997-8978

Other Identifiers 1

OtherD10806OR · State License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROGUE COMMUNITY HEALTH

Clinic/Center (Federally Qualified Health Center (FQHC))