| Stacy Jacob, DMD | |
|
15711 Madison Ave Ste 104, Lakewood, OH 44107-5655 | |
| (216) 228-7950 | |
| (216) 228-7951 |
| Full Name | Stacy Jacob |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 15711 Madison Ave Ste 104, Lakewood, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275150013 | NPI | - | NPPES |
| 30.026177 | Other | OH | DENTAL LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30.026177 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Jacob, DMD 15711 Madison Ave Ste 104, Lakewood, OH 44107-5655 Ph: (216) 228-7950 | Stacy Jacob, DMD 15711 Madison Ave Ste 104, Lakewood, OH 44107-5655 Ph: (216) 228-7950 |
Margaret Lucretia Sullivan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14500 Madison Ave, Lakewood, OH 44107 Phone: 216-521-3727 | |
Dr. Basilios C Costaras, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 874 Beach Rd, Lakewood, OH 44107 Phone: 216-469-3356 | |
Dr. Jill Marie Harter, Dentist Medicare: Not Enrolled in Medicare Practice Location: 18224 Detroit Ave, Lakewood, OH 44107 Phone: 216-226-3880 Fax: 216-226-2030 | |
Dr. Ronald Paul Kolodziej, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 17500 Madison Ave, Lakewood, OH 44107 Phone: 216-529-8422 Fax: 216-529-1848 | |
Dr. Thomas E. Kavanagh, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1417 Marlowe Ave, Lakewood, OH 44107 Phone: 216-221-7500 Fax: 216-221-2430 | |
Robert Frank Legan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 15642 Madison Ave, Lakewood, OH 44107 Phone: 216-521-5482 Fax: 216-521-5482 | |
Dr. Denver D. Jenkins Jr., D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 17117 Detroit Ave, Lakewood, OH 44107 Phone: 216-221-3368 Fax: 216-221-3368 |