Organization · Type 2 NPI

Jacobson Dental Corp

Orthodontics and Dentofacial Orthopedics Dentistry · Modesto, CA

NPI number 1134737315 Active

Practice location

2057 Tully Road, Suite A
Modesto, CA 95350

Call (209) 353-3300 Map

Fax (844) 534-8464

Mailing address

3655 Torrance Blvd Ste 425
Torrance, CA 90503-4844

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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NPI record

NPI: 1134737315
Entity type: Organization (Type 2)
Issued: Jul 14, 2020
Last updated: Mar 6, 2024
Status: Active

Other names

<unavail>
Children's Choice Dental Care · doing business as
Children's Choice Dental Care · doing business as
Jacobson Dental Corp · other name

Authorized official

Dr. Jeffrey Jacobson, DMD
Owner
(916) 877-7450

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About NPI 1134737315

Jacobson Dental Corp's National Provider Identifier is 1134737315, issued on Jul 14, 2020. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Modesto, CA. The record was last updated on Mar 6, 2024.