Individual ProviderJacob Rodney AberleDentistDental ProvidersPractice Address1301 Hawthorne St, Alexandria, MN 56308-2555(320) 762-0279PECOS EnrollmentBased on the most recent information from CMS, provider Jacob Rodney Aberle does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1417574716Provider TypeIndividualFull NameAberle, Jacob RodneyTitleDr.CredentialDDSGenderMaleSole ProprietorYesEnumeration Date7/2/2020Last Updated7/2/2020Contact InformationPractice LocationPractice Address1301 Hawthorne St, Alexandria, MN 56308-2555Phone(320) 762-0279FaxUnlisted FaxMailing LocationMailing Address1301 Hawthorne St, Alexandria, MN 56308-2555PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseD14393Minnesota