Jacob Thomas Hyde, DDS Valid NPI
Individual provider · Dentist · Apo, AE
- NPI
- 1891370748
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 0401417572 (VA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2021-03-12
- Last updated
- 2024-08-21
Practice location
Unit 3215 Box Mdg
Apo, AE 09094-3215
(618) 960-5668