Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568693570 Individual Practitioner Male Practitioner

Dr. Jeffrey T Jacob , DMD

Dentist • Medford, OR

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Jacob, DMD is a registered healthcare professional specializing in Dentist in Medford, OR. Practice services are available at 906 ROYAL CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

906 Royal Ct

Medford, OR 97504

Telephone 5414140519
Fax 5418427774
Associated Practice Facility / Clinic
🏢 Barry & Erickson, Llc Facility NPI 1659641504

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Medford, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
53 Specialists

Practicing in Medford, OR (1289 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D10806

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License Number
D10806 (OR)

Secondary Practice Locations

1501 S Carbon St

Marion, IL 629591435

Phone: 6189977273

1501 S Carbon St

Marion, IL 629591435

Phone: 6189977273

Practice Associates & Co-Workers

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

10 Associated Practitioners
Jessica Quirarte

Interpreter

NPI 1154982437
Necia Egan , RDH

Dental Hygienist

NPI 1205299203

Registered Dental Hygienist

NPI 1265113799
Dr. Jeremy Claassen , DDS

Dentist - Dental Public Health

NPI 1316177199

Doctor of Dental Surgery

Dr. Erin Rose , DDS

Dentist - Dental Public Health

NPI 1356685291

Doctor of Dental Surgery

Lauren Smith

Dentist - General Practice

NPI 1528581550

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 03, 2018

Registered at 906 ROYAL CT, MEDFORD, OR 97504 (Tel: 5414140519)

📍
Updated Business Mailing Address July 03, 2018

Registered at 1000 E MAIN ST, MEDFORD, OR 975047667 (Tel: 5414140519)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2018

Dentist (License #D10806 in OR)

NPI Profile Active October 21, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2011

Registered at 1501 S CARBON ST, MARION, IL 629591435 (Tel: 6189977273)

📍
Updated Business Mailing Address October 21, 2011

Registered at 109 CALIFORNIA ST, PO BOX 577, CARTERVILLE, IL 629181923 (Tel: 6189858221)

👤
Provider Name / Credentials Updated October 21, 2011

Recorded as JEFFREY JACOB, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2011

Dentist (License #019-028089 in IL)

🟢
Initial NPI Registration & Enumeration August 07, 2009

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: 1568693570
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2009
Last Update: July 03, 2018
Sole Proprietor: No

Mailing Address

1000 E Main St

Medford, OR 975047667

Phone: 5414140519

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.