Jacob Deniakos, D.D.S

NPI 1679973879 · on the registry since 2014 · sole proprietor

Practice

Address: 300 S. Twining Street, Bldg 760
42d Medical Group
Maxwell Afb, AL 36112
Phone: (334) 953-8607
Fax: (334) 953-8607
Organisation at this address: 42d Medgrp-Maxwell
Maxwell Afb Ambulatory Health Care Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: Dentist
122300000X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-08-27

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 Alabama