Individual provider · Type 1 NPI

Kristen Walters Jacobs, D.M.D

Orthodontics and Dentofacial Orthopedics Dentistry · Hixson, TN

NPI number 1619997590 Active

Practice location

1005 Executive Dr, Suite 105
Hixson, TN 37343-7903

Fax (423) 877-1290

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDS0000008805 (TN)

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 1619997590

Kristen Walters Jacobs, D.M.D's National Provider Identifier is 1619997590, issued on Jul 20, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Hixson, TN. The record was last updated on Oct 1, 2013.