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

Jacob Michael Conrad

Individual provider Dentist · NPI 1942787296

Jacob Michael Conrad is a Dentist in San Diego, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
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Practice location Partly verified

Some contact details are missing from the federal record.

Naval Medical Ctr
San Diego, CA 92134-0001
Phone: (619) 532-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 102824 (CA)

Record details

NPI number1942787296
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 19, 2018
Last updated in NPPESJuly 19, 2018

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