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

Sally Ann Jacob, DMD

Individual provider Dentist · NPI 1457883944

Sally Ann Jacob, DMD is a Dentist in Tampa, Florida. Licensed in Florida and Massachusetts. Registered with an NPI since 2017.

Licensed in
FL, MA
In the registry since
2017
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5101 E Busch Blvd Ste 13
Tampa, FL 33617-5380
Phone: (813) 988-1167
Fax: (813) 364-0139
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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 DN23281 (FL)
Dentist Taxonomy 122300000X · Licence 1858018 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457883944
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 3, 2017
Last updated in NPPESMay 2, 2022
Certification dateMay 2, 2022

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