Organization · Type 2 NPI

Jacobson Orthodontic Associates, Ltd

Orthodontics and Dentofacial Orthopedics Dentistry · Chicago, IL

NPI number 1508006313 Active

Practice location

4200 W Peterson Ave, Suite 116
Chicago, IL 60646-6074

Fax (773) 545-3636

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X060.004616 (IL)

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 1508006313

Jacobson Orthodontic Associates, Ltd's National Provider Identifier is 1508006313, issued on Mar 6, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Chicago, IL. The record was last updated on Mar 6, 2009.