Healthcare Provider Details

I. General information

NPI: 1902689243
Provider Name (Legal Business Name): JACOB SOLIMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 S COLUMBIA ST
CHAPEL HILL NC
27514-4309
US

IV. Provider business mailing address

2525 BOOKER CREEK RD
CHAPEL HILL NC
27514-5100
US

V. Phone/Fax

Practice location:
  • Phone: 919-537-3373
  • Fax:
Mailing address:
  • Phone: 908-347-0045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14506
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: