Individual provider · Type 1 NPI
Brett Dean Jacobson, DDS
Multi-Specialty Clinic/Center · Idaho Falls, ID
NPI number
1811057623
Active
Practice location
885 Pancheri Dr
Idaho Falls, ID 83402-3344
Fax (208) 524-0873
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | D-3203 (ID) |
Multi-Specialty Clinic/Center: Definition to come...
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Other multi-specialty clinic/center providers in Idaho Falls
About NPI 1811057623
Brett Dean Jacobson, DDS's National Provider Identifier is 1811057623, issued on Dec 11, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Idaho Falls, ID. The record was last updated on Oct 6, 2026.