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Active NPI 1588173728 Individual Practitioner Male Practitioner

Dr. Jacob D Justice , DMD

Dentist - General Practice • Norton, VA

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Justice, DMD is a registered healthcare professional specializing in Dentist - General Practice in Norton, VA. Practice services are available at 807 PARK AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

807 Park Ave Ne

Norton, VA 242731009

Telephone 2766796030
Fax 2763250459
Associated Practice Facility / Clinic
🏢 Clisso Dentistry Pc Facility NPI 1336275973

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Norton, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Norton, VA (3535 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: 2020-12-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401416829

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License KY 10032

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.

Secondary Practice Locations

155 East Main Street

Elkhorn City, KY 41522

Phone: 6067540155

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Monica Clisso , DDS

Dentist - General Practice

NPI 1649429036

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location January 06, 2021

Registered at 807 PARK AVE NE, NORTON, VA 242731009 (Tel: 2766796030)

NPI Profile Active September 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 20, 2017

Registered at 155 EAST MAIN STREET, ELKHORN CITY, KY 41522 (Tel: 6067540155)

📍
Updated Business Mailing Address September 20, 2017

Registered at PO BOX 1500, ELKHORN CITY, KY 41522 (Tel: 6067540155)

👤
Provider Name / Credentials Updated September 20, 2017

Recorded as JACOB JUSTICE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2017

Dentist (License #10032 in KY)

🟢
Initial NPI Registration & Enumeration September 20, 2017

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: 1588173728
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2017
Last Update: January 06, 2021
Sole Proprietor: No

Mailing Address

Po Box 1500

Elkhorn City, KY 41522

Phone: 6067540155

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.