SearchLouisiana122300000X

Jacob Diebold, D.D.S

NPI 1992187389 · on the registry since 2015 · sole proprietor

Practice

Address
7181 Us Highway 61
Suite 10
St. Francisville, LA 70775
Phone
(225) 635-4707
Fax
(225) 635-2172
Organisation at this address
Jacob R Diebold, Dds, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-06-23

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 Louisiana