Tessie Jacob, DDS
NPI 1477937183ActiveIndividual· Dentist, General Practice· Southington, CT
Dentist, General Practice (DDS) in Southington, Connecticut, licensed in CT, with an NPI issued in July 2015. Part D covered 21 prescriptions written in 2024, 67% of them generic. Dentsply Sirona Inc reported $42.16 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1477937183 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Jul 13, 2015 |
| Last updated in NPPES | Jul 1, 2020 |
| Certified by provider | Jul 1, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 11465 | CT |
| Dentist | 122300000X | 11465 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (CT) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 21 · 23 30-day fills |
|---|---|
| Total drug cost | $117.51 |
| Generic share | 67% of claims |
Industry payments (Open Payments)
- 2024$42.16 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Dentsply Sirona Inc | $42.16 | 1 |
What the 2024 payments were for
- Food and Beverage$42.16 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, General Practice providers in Southington
- 1033737457
- 1831966936
- 1033492178
- 1912117482
- 1942410642
- 1104820505
- 1508933524
- 1427245273
- 1245494327
- 1962630632
- 1184765547
- 1356616643