NPI 1316574288

Jacob Pauly Gribb

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Pottstown, PA

Practice location

Address: 500 Heritage Dr, Pottstown, PA 19464-3233
Phone: (610) 326-7880
Fax: (610) 323-1520
Mailing address: 501 W 14th St STE 2w22, Wilmington, DE 19801-1013

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DS042834 (PA)

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Registry record

NPI: 1316574288
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Mar 2020
Record last updated: 20 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.