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

Jacob Dodd, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396486494

Jacob Dodd, MD is a Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

330 Barclay Ave NE Ste 304
Grand Rapids, MI 49503-2527
Phone: (616) 391-2160
Fax: (616) 391-2683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 4351049584 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396486494
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022
Mailing address330 Barclay Ave Ne Ste 304, Grand Rapids, MI 49503-2527

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