Dr. Jerrold Ted Jacob , DMD
Dentist - General Practice • Belleville, NJ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerrold Jacob has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jerrold Jacob, DMD was a registered Dentist - General Practice practicing in Belleville, NJ. Throughout an active medical career spanning 19 years, Dr. Jacob provided care at the practice location at 484 WASHINGTON AVE until profile deactivation on 2026-04-23.
Practice Location & Contact Primary Location
484 Washington Ave
Belleville, NJ 071092688
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Belleville, NJ
Practicing in Belleville, NJ (4316 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 23, 2026
NPI status registered as active in NPPES database
Registered at 484 WASHINGTON AVE, BELLEVILLE, NJ 071092688 (Tel: 9737591010)
Registered at 484 WASHINGTON AVE, BELLEVILLE, NJ 071092688 (Tel: 9737591010)
Recorded as JERROLD JACOB, D.M.D.
Dentist (License #22DI00929200 in NJ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
484 Washington Ave
Belleville, NJ 071092688
Phone: 9737591010
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