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

Individual provider Dental Hygienist · NPI 1124507421

Mrs. Tracey Leigh Jacob, RDH is a Dental Hygienist in Bloomfield Hills, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
What do these letters mean?
RDH — Registered Dental Hygienist
A licensed hygienist who cleans teeth and screens for oral disease.

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Practice location Address checks out

2850 Berkshire Dr
Bloomfield Hills, MI 48301-3400
Phone: (586) 489-9868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 2902012495 (MI)

Record details

NPI number1124507421
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDH
Sole proprietorYes
NPI enumeratedAugust 8, 2018
Last updated in NPPESAugust 8, 2018

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