Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1639396450 Deactivated / Inactive NPI Male Practitioner

Dr. Theodore Gregory Jacobs , DDS

Dentist - General Practice • West Seneca, NY

⚠️

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. Theodore Jacobs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 20, 2007
NPI Deactivation Date April 05, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Jacobs, DDS was a registered Dentist - General Practice practicing in West Seneca, NY. Throughout an active medical career spanning 11 years, Dr. Jacobs provided care at the practice location at 1335 ORCHARD PARK RD until profile deactivation on 2018-04-05.

Practice Location & Contact Primary Location

Practice Address

1335 Orchard Park Rd
0

West Seneca, NY 142244017

Telephone 7166749409
Fax 7166749410

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in West Seneca, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
22 Specialists

Practicing in West Seneca, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 024030

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated April 05, 2018

Record deactivated on April 05, 2018

NPI Profile Active September 08, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2008

Registered at 1335 ORCHARD PARK RD, 0, WEST SENECA, NY 142244017 (Tel: 7166749409)

📍
Updated Business Mailing Address September 08, 2008

Registered at 1335 ORCHARD PARK RD, 0, WEST SENECA, NY 142244017 (Tel: 7166749409)

👤
Provider Name / Credentials Updated September 08, 2008

Recorded as THEODORE JACOBS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2008

Dentist (License #024030 in NY)

🟢
Initial NPI Registration & Enumeration April 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Theodore Jacobs. Be the first to share your experience!

Sign in to leave a review for Dr. Theodore Jacobs

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1639396450
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2007
Last Update: September 08, 2008
Deactivation Date: April 05, 2018

Mailing Address

1335 Orchard Park Rd, 0

West Seneca, NY 142244017

Phone: 7166749409

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.