Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mary Jacob, DMD

Individual provider General Practice Dentistry · NPI 1124537667

Dr. Mary Jacob, DMD is a General Practice Dentistry in Revere, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2017
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

334 Broadway
Revere, MA 02151-5016
Phone: (178) 162-9624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN1857754 (MA)

Record details

NPI number1124537667
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 27, 2017
Last updated in NPPESSeptember 27, 2017
Mailing address99 Florence Street, Apt 102, Malden, MA 02148

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