IndividualActive
Jacob Gribb
NPI 1316574288 · Oral & Maxillofacial Surgery (D.M.D.) · Pottstown, PA
Provider details
- NPI number
- 1316574288
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- DS042834 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
500 Heritage Dr
Pottstown, PA 19464-3233
Phone: (610) 326-7880
Fax: (610) 323-1520
Approximate (ZIP-level) locationGet directions
Mailing address
501 W 14th St Ste 2w22
Wilmington, DE 19801-1013
Registry dates
- Enumerated
- 2020-03-23
- Last updated
- 2024-06-20
- Certified
- 2024-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.