Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649378936 Individual Practitioner Male Practitioner

Dr. Jose Ph Jabboure , DDS

Dentist - General Practice • Lorain, OH

Professional Overview & Biography Verified Profile Summary

Dr. Jose Jabboure, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lorain, OH. Practice services are available at 4785 LEAVITT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4785 Leavitt Rd

Lorain, OH 440532136

Telephone 4402826677
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lorain, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
17 Specialists

Practicing in Lorain, OH (4287 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

CMS Verified: 2023-11-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH 20508

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2061343 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1205808615

Doctor of Dental Surgery

NPI 1225726201
Richard Kun

Dentist - General Practice

NPI 1316070147
Dr. Dergham Dergham , DDS

Dentist - Pediatric Dentistry

NPI 1396022703

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 08, 2023

Registered at 4785 LEAVITT RD, LORAIN, OH 440532136 (Tel: 4402826677)

📍
Updated Business Mailing Address November 08, 2023

Registered at 4785 LEAVITT RD, LORAIN, OH 440532136 (Tel: 4402826677)

👤
Provider Name / Credentials Updated November 08, 2023

Recorded as JOSE JABBOURE, DDS

NPI Profile Active December 20, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2012

Registered at 11925 PEARL RD STE 306, STRONGSVILLE, OH 441363343 (Tel: 4402382456)

📍
Updated Business Mailing Address December 20, 2012

Registered at 11925 PEARL RD STE 306, STRONGSVILLE, OH 441363343 (Tel: 4402382456)

👤
Provider Name / Credentials Updated December 20, 2012

Recorded as J PAULO JABBOURE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2012

Dentist (License #20508 in OH)

🟢
Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649378936
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: November 08, 2023
Sole Proprietor: No

Mailing Address

4785 Leavitt Rd

Lorain, OH 440532136

Phone: 4402826677

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.