| Jacob Werba Dds Ltd | |
|
655 Broad St Providence RI 02907-1444 | |
| (401) 751-9050 | |
| (401) 861-0873 |
| Full Name | Jacob Werba Dds Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 655 Broad St, Providence, Rhode Island |
| Authorized Official Name and Position | Jacob David Werba (OWNER) |
| Authorized Official Contact | 4017519050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Werba Dds Ltd 655 Broad St Providence RI 02907-1444 Ph: (401) 751-9050 | Jacob Werba Dds Ltd 655 Broad St Providence RI 02907-1444 Ph: (401) 751-9050 |
| NPI Number | 1871705418 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871705418 | NPI | - | NPPES |
| JW57856 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN01863 (Rhode Island) | Primary |
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