Individual provider · Type 1 NPI

Tyler Branson Jacobs

Oral and Maxillofacial Surgery (Dentist) · Newark, NJ

NPI number 1760007835 Active

Practice location

110 Bergen St
Newark, NJ 07103-2495

Other practice locations

  • 1220 State Route 31 Ste 11, Lebanon, NJ 08833-3269 · (908) 730-6766
  • 50 Division St Ste 301, Somerville, NJ 08876-2943 · (908) 725-5585

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X22DI02849510 (NJ)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

137 other providers at this address

Other oral and maxillofacial surgery (dentist) providers in Newark

See all in Newark →

About NPI 1760007835

Tyler Branson Jacobs's National Provider Identifier is 1760007835, issued on Jun 14, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Newark, NJ. The record was last updated on May 1, 2026.