Dr Jacob Earl Humphrey, DDS is a
Dentist based in Gallatin, Missouri. Dr Jacob Earl Humphrey is licensed to practice in Missouri (license number 2012015443) and his current practice location is
307 S Main St, Gallatin, Missouri. He can be reached at his office (for appointments etc.) via phone at
(660) 663-2814.
NPI number for Dr Jacob Earl Humphrey is 1821358789 and his current mailing address is 307 S Main St, Gallatin, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821358789.
Healthcare Provider's Profile
| Full Name | Dr Jacob Earl Humphrey |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 307 S Main St, Gallatin, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821358789
- Provider Enumeration Date: 05/24/2012
- Last Update Date: 05/24/2012
Medical Identifiers
Medical identifiers for Dr Jacob Earl Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821358789 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2012015443 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacob Earl Humphrey is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jacob Earl Humphrey, DDS
307 S Main St,
Gallatin, MO 64640-1339
Ph: (660) 663-2814 | Dr Jacob Earl Humphrey, DDS
307 S Main St,
Gallatin, MO 64640-1339
Ph: (660) 663-2814 |
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