Jack Yacoub

NPI 1194692863 · on the registry since 2025

Practice

Address: 5920 Hamilton Blvd Ste 101
Allentown, PA 18106
Phone: (610) 530-7901
Organisation at this address: Jason A Pellegrino Dmd Pc
Archetype Enterprises P C
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Additional practice sites

2545 Schoenersville Rd, Bethlehem, PA

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania