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Bennett Jacoby — NPI 1235331273, Lihue, HI | NPI Central

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NPI 1235331273

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Bennett Jacoby

NPI 1235331273 · Periodontics · Lihue, HI

Provider details

NPI number: 1235331273
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Sex: Male
Sole proprietor: Yes
License: DT2112 (HI)

Specialties & taxonomies

PeriodonticsPrimary1223P0300XLicense DT2112 (HI)
Dental Providers

Practice location

2978 Haleko Rd

Ste a

Lihue, HI 96766-1379

Phone: (808) 202-2060

Approximate (ZIP-level) locationGet directions

More HI providers

Mailing address

Po Box 75407294

Sioux Falls, SD 57186-1379

Registry dates

Enumerated: 2007-06-01
Last updated: 2016-11-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.