Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881611390 Individual Practitioner Female Practitioner

Dr. Stacey Lynn Jacobs , DMD

Dentist - General Practice • Newport, RI

Professional Overview & Biography Verified Profile Summary

Dr. Stacey Jacobs, DMD is a registered healthcare professional specializing in Dentist - General Practice in Newport, RI. Practice services are available at 19 BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19 Broadway

Newport, RI 028402937

Telephone 4018450564
Fax 4018474245
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Newport, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Newport, RI (373 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 RI DEN02937

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
JS61781 (RI)
Commercial Insurance / Payer ID Taxonomy Number
1223G0001X (RI)
Commercial Insurance / Payer ID Npi Number
1881611390 (RI)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Nelsy Lopes , PA

Physician Assistant

NPI 1003249178

Physician Assistant

NPI 1093056772

Doctor of Dental Medicine

NPI 1104279546

Doctor of Dental Medicine

Dr. Richatd Stengel , DMD

Dentist - General Practice

NPI 1265551105

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 26, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2011

Registered at 19 BROADWAY, NEWPORT, RI 028402937 (Tel: 4018450564)

📍
Updated Business Mailing Address September 26, 2011

Registered at 42 FAREWELL ST, APT 2, NEWPORT, RI 028402564 (Tel: 4018450564)

👤
Provider Name / Credentials Updated September 26, 2011

Recorded as STACEY JACOBS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2011

Dentist (License #DEN02937 in RI)

🟢
Initial NPI Registration & Enumeration July 17, 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: 1881611390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: September 26, 2011
Sole Proprietor: No

Mailing Address

42 Farewell St, Apt 2

Newport, RI 028402564

Phone: 4018450564

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.