Individual provider · Type 1 NPI

Jacob A. Powell, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Travis Afb, CA

NPI number 1376771733 Active

Practice location

101 Bodin Cir
Travis Afb, CA 94535

Call (707) 423-7000 Map

Mailing address

101 Bodin Circle
Travis Afb, CA 94535-1800

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XD-4232 (ID)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD-4232 (ID)

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 1376771733

Jacob A. Powell, DDS, M.S.'s National Provider Identifier is 1376771733, issued on Jun 24, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Travis Afb, CA. The record was last updated on May 14, 2025.