Jacob Groom is a Portland, Oregon based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jacob Groom is D11457 for General Practice Dentistry in Oregon. His current practice location is 13908 Se Stark St Ste B, Portland. Patients can reach him at 503-253-4979.
Jacob Groom is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jacob Groom speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jacob Groom
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
13908 Se Stark St Ste B, Portland, Oregon, 97233-2161
Phone:
503-253-4979
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1902476682
NPI Enumeration Date:
25 Jun, 2021
NPI Last Update On:
25 Jun, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob Groom are as mentioned below.
License Number
Specialization
State
Status
D11457
General Practice Dentistry
Oregon
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
13908 Se Stark St Ste B, Portland, Oregon
Zip:
97233-2161
Phone Number:
503-253-4979
Patients can reach Jacob Groom at 13908 Se Stark St Ste B, Portland, Oregon or can call to book an appointment on 503-253-4979. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.