JACOB WERBA DDS LTD (NPI# 1871705418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871705418 |
| Entity Type | Organization |
| Organization Name | JACOB WERBA DDS LTD |
| Practice Address |
655 Broad St Providence RI 02907-1444 |
| Practice Telephone | 4017519050 |
| Practice Fax Number | 4018610873 |
| Mailing Telephone | 4017519050 |
| Mailing Fax Number | 4018610873 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JACOB DAVID WERBA (OWNER) |
| Authorized Official Telephone | 4017519050 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN01863 | RI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | JW57856 | 05 |
| Street Address |
655 BROAD ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02907-1444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265560445 | Jacob Werba Werba | Dentist | 655 Broad St, Providence, RI 02907-1444 | 2007-03-01 |
| 1558706267 | Rhode Island Free Clinic, Inc | Clinic/Center | 655 Broad St, Providence, RI 02907-1444 | 2013-05-08 |
| 1932356797 | Jordana Adina Werba | Dentist | 655 Broad St, Providence, RI 02907-1444 | 2008-08-25 |
| 1437354529 | Timothy Michael Kelly, Jr. | Physical Therapist | 655 Broad St, Providence, RI 02907-1444 | 2007-06-19 |
| 1548461544 | Augustine Albert Manocchia | Internal Medicine | 655 Broad St, Providence, RI 02907-1444 | 2007-05-29 |
| 1447467071 | Rebecca Joy Carley | Nurse Practitioner | 655 Broad St, Ri Free Clinic, Providence, RI 02905 | 2007-05-16 |
| 1073726733 | Providence Physical Therapy Associates, Inc. | Clinic/Center | 655 Broad St, Providence, RI 02907-1444 | 2007-05-08 |
| 1881731586 | Walter Jude Scott | Physical Therapist | 655 Broad St, Providence, RI 02907-1444 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518522861 | Catherine M Katzberg | Massage Therapist | Santosha Yoga Studio, 275 Reservoir Ave, Providence, RI 02907 | 2019-05-02 |
| 1104317007 | Victa LLC | Internal Medicine | 110 Elmwood Ave # A, Providence, RI 02907 | 2018-05-25 |
| 1639566987 | Southside Elementary Charter School | Local Education Agency (LEA) | 126 Somerset Street, Providence, RI 02907 | 2015-04-23 |
| 1063846558 | Achievement First Providence Mayoral Academy Charter School | Local Education Agency (LEA) | 370 Hartford Aveneue, Providence, RI 02907 | 2013-09-03 |
| 1912297425 | Reynaldo P Baduya Sr.,dmd | Clinic/Center | 252 Adelaide Avenue, Providence, RI 02907 | 2011-04-18 |
| 1821218587 | Map Behavioral Health Serv. Inc. | Community/Behavioral Health | 66 Burnett Street, Providence, RI 02907 | 2007-04-26 |
| 1548336944 | Angelica Redleaf | Chiropractor | 1196 Elmwood Avenue, Providence, RI 02907 | 2006-11-28 |
| 1174619878 | Emilio Rodriguez-peris | Internal Medicine | 655 Broad Street, Suite 201, Providence, RI 02907 | 2006-10-04 |
| 1841381555 | Maged Taman | Internal Medicine | 21 Peace Street, Providence, RI 02907 | 2006-09-27 |
| 1003924226 | Gladys V Rezendes | Psychologist | 118 Comstock Avenue, Providence, RI 02907 | 2006-08-28 |
| Find all providers in zip 02907 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598222689 | American Center for Bioregulatory Medicine and Dentistry | Dentist | 111 Chestnut St Ste 1, Providence, RI 02903-4169 | 2019-02-25 |
| 1831541341 | Spring Creek Dental Associates, LLC | Dentist | 274 N Spring Creek Pkwy, Providence, UT 84332-9775 | 2016-07-08 |
| 1104234350 | Zumstein Family Dentistry, LLC | Dentist | 159 Governor St, Providence, RI 02906-3062 | 2014-07-31 |
| 1750680435 | Cghe Dental LLC | Dentist | 1196 Smith St, Providence, RI 02908-2036 | 2011-03-21 |
| 1770804007 | Avani S Khera | Dentist | 21 Peace St Fl 2, St. Joseph's Hospital of Specialty Care, Providence, RI 02907-1510 | 2010-06-22 |
| 1124282751 | Gaganpreet Singh Gill | Dentist | 314f Pocasset Ave, Providence, RI 02909-4828 | 2008-07-13 |
| 1477736452 | City Dental, LLC | Dentist | 314f Pocasset Avenue, Providence, RI 02909 | 2007-12-12 |
| 1255476594 | Jon Gregory Dunn | Dentist | 110 Barrett St, Providence, KY 42450 | 2007-02-21 |
| 1457496465 | Martin S. Hanoian | Dentist | 595 Hope St, Providence, RI 02906-2655 | 2007-02-20 |
| 1578609855 | Carl M Cotoia | Dentist | 183 Waterman St, Providence, RI 02906-4014 | 2007-01-30 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02907 |
Please comment or provide details below to improve the information on JACOB WERBA DDS LTD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.