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

Lisa Susan Jacob, DDS

Individual provider Dentist · NPI 1386688331

Lisa Susan Jacob, DDS is a Dentist in Kyle, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2006
Specialties on file
3
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

2810 Dacy Ln
Kyle, TX 78640-6322
Phone: (210) 233-7000
Fax: (512) 268-2253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 Barbara Jordan Blvd, Austin, TX 78723-3077 — (512) 324-9999

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 19077 (TX)
Dentist Taxonomy 122300000X · Licence 19077 (TX)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 19077 (TX)

Record details

NPI number1386688331
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing address1301 Barbara Jordan Blvd Ste 301, Austin, TX 78723-3078

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