Search › Virginia › 1223G0001X
Jacob Justice, DMD
NPI 1588173728 · on the registry since 2017
Practice
- Address
- 807 Park Ave Ne
Norton, VA 24273 - Phone
- (276) 679-6030
- Fax
- (276) 325-0459
- Organisation at this address
- Clisso Dentistry Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 155 East Main Street, Elkhorn City, KY
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- KY, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia