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

Dr. Tessie Jacob, DDS

Individual provider Dentist · NPI 1477937183

Dr. Tessie Jacob, DDS is a Dentist in Southington, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2015
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1131 W Street BUILDING#1 SUITE#5
Southington, CT 06489-6006
Phone: (860) 414-6897
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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 11465 (CT)
Dentist Taxonomy 122300000X · Licence 11465 (CT)

Record details

NPI number1477937183
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 13, 2015
Last updated in NPPESJuly 1, 2020
Certification dateJuly 1, 2020
Mailing address1131 West Street, Building#1 Suite#5, Southington, CT 06489-6006

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