Individual provider · Type 1 NPI

Bradley John Jacobs, DDS MS

Orthodontics and Dentofacial Orthopedics Dentistry · Hixson, TN

NPI number 1356444384 Active

Practice location

1005 Executive Dr, Suite 105
Hixson, TN 37343-7903

Fax (423) 877-1290

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	DS8742 (TN)

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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About NPI 1356444384

Bradley John Jacobs, DDS MS's National Provider Identifier is 1356444384, issued on Sep 6, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Hixson, TN. The record was last updated on Sep 21, 2009.