MEDICARE: DR. JACOB CHARLES TEICHNER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN25315	FL

General Provider Information

NPI Number	:	1992371777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACOB CHARLES TEICHNER DDS

Provider Business Mailing Address
First Line	:	1691 DAYTONIA RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-1732
Country	:	US
Telephone Number	:	786-512-0509
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 NW 70TH AVE STE A
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-2369
Country	:	US
Telephone Number	:	954-792-5544
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2021
Last Update Date	:	06/24/2026

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