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NPI Verification

National Provider Identifier: 1013909316

Dennis W Jacks, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

1609 W 40TH AVE

STE 301

PINE BLUFF, AR 716036329

Phone: 870-536-5162

NPI Enumeration Date

August 22, 2005

NPI Number

1013909316

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry