Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538892047 Individual Practitioner Male Practitioner

Dr. Jacob Allen Chandler , DDS

Dentist - General Practice • Grapevine, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Chandler, DDS is a registered healthcare professional specializing in Dentist - General Practice in Grapevine, TX. Practice services are available at 801 W WALL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

801 W Wall St

Grapevine, TX 760515149

Telephone 8173450695
Associated Practice Facility / Clinic
🏢 Roanoke Dental Group,pc Facility NPI 1952760050

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Grapevine, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
25 Specialists

Practicing in Grapevine, TX (10570 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: 2024-08-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 38689

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

1 Associated Practitioners
Dr. Kenny Tran , DMD

Dentist - General Practice

NPI 1396223954

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 20, 2024

Registered at 801 W WALL ST, GRAPEVINE, TX 760515149 (Tel: 8173450695)

📍
Updated Business Mailing Address August 20, 2024

Registered at 801 W WALL ST, GRAPEVINE, TX 760515149 (Tel: 8174814717)

NPI Profile Active July 03, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2022

Registered at 1320 N HIGHWAY 377 STE 100, ROANOKE, TX 762629131 (Tel: 8173450695)

📍
Updated Business Mailing Address July 03, 2022

Registered at 601 N OAK ST APT 139, ROANOKE, TX 762626846 (Tel: 2148835172)

👤
Provider Name / Credentials Updated July 03, 2022

Recorded as JACOB CHANDLER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2022

Dentist (License #38689 in TX)

🟢
Initial NPI Registration & Enumeration July 03, 2022

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: 1538892047
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2022
Last Update: August 20, 2024
Sole Proprietor: Yes

Mailing Address

801 W Wall St

Grapevine, TX 760515149

Phone: 8174814717

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.