Jacob Scott Hermes | Medical Lake, WA • PECOS Search

Jacob Scott Hermes

Dentist

Dental Providers

123 N Brower St, Medical Lake, WA 99022-5109

PECOS Enrollment

Based on the most recent information from CMS, provider Jacob Scott Hermes does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 12:57 PM.

Profile Details

Provider ID
1164311452
Provider Type
Individual
Full Name
Hermes, Jacob Scott
Title
Dr.
Credential
DMD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/1/2025
Last Updated
7/1/2025

Contact Information

Practice Location

123 N Brower St, Medical Lake, WA 99022-5109

(509) 299-5151

Mailing Location

PO Box 10, Medical Lake, WA 99022-0010

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License DE70007565 Washington