Organization · Type 2 NPI

Blain Jacobson, Dmd, A Professional Dental Corporation

Orthodontics and Dentofacial Orthopedics Dentistry · Granite Bay, CA

NPI number 1487897831 Active

Practice location

6910 Douglas Blvd Ste A
Granite Bay, CA 95746-6276

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X56390 (CA)

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 1487897831

Blain Jacobson, Dmd, A Professional Dental Corporation's National Provider Identifier is 1487897831, issued on Apr 15, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Granite Bay, CA. The record was last updated on Apr 15, 2009.