Organization · Type 2 NPI
Blain Jacobson, Dmd, A Professional Dental Corporation
Orthodontics and Dentofacial Orthopedics Dentistry · Granite Bay, CA
Practice location
6910 Douglas Blvd Ste A
Granite Bay, CA 95746-6276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 56390 (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…
Another provider at this address
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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.