Individual provider · Type 1 NPI
Mykle A. Jacobs, DDS
Oral and Maxillofacial Surgery (Dentist) · Lagrange, GA
NPI number
1366557530
Active
Practice location
1587 Vernon Rd
Lagrange, GA 30240-4146
Fax (706) 883-7670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 2005012885 (MO) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4 other providers at this address
- West Ga Oral Surgery Associates, P.c.Oral and Maxillofacial Pathology Dentistry Lagrange, GA NPI 1942403795
- Aaron Stoker, DMDOral and Maxillofacial Surgery (Dentist) Lagrange, GA NPI 1194241505
- Donald C. Neal Jr., DMDOral and Maxillofacial Pathology Dentistry Lagrange, GA NPI 1821103086
- William Paisley Hines, DMDOral and Maxillofacial Pathology Dentistry Lagrange, GA NPI 1811000268
Other oral and maxillofacial surgery (dentist) providers in Lagrange
About NPI 1366557530
Mykle A. Jacobs, DDS's National Provider Identifier is 1366557530, issued on Aug 20, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lagrange, GA. The record was last updated on Aug 11, 2020.