Mykle A Jacobs in Lagrange - Oral And Maxillofacial Surgery
Mykle A Jacobs - NPI 1366557530
Mykle A Jacobs is a Oral And Maxillofacial Surgery in Lagrange, Georgia. Mykle A Jacobs practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Mykle A Jacobs is 1366557530. The last update date is 2020-08-11.
Mykle A Jacobs's current location address is 1587 Vernon Rd, Lagrange, Georgia. You can contact this provider via phone number 7068842655 and fax number 7068837670. The mailing address for Mykle A Jacobs is 1587 Vernon Rd, Lagrange, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mykle A Jacobs |
|---|---|
| Address | 1587 Vernon Rd, Lagrange, Georgia |
| Phone Number | 7068842655 |
| Fax Number | 7068837670 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1366557530 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2020-08-11 |
Provider Mailing Address Detail
| Address | 1587 Vernon Rd |
|---|---|
| City | Lagrange |
| State | Georgia (GA) |
| Post Code | 302404146 |
| Phone Number | 7068842655 |
| Fax Number | 7068837670 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 2005012885 |
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Definition: 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. |
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What is the unique 10-digit identification code assigned to Mykle A Jacobs by the Centers for Medicare & Medicaid Services?
The Mykle A Jacobs has been issued the NPI (National Provider Identifier) 1366557530, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mykle A Jacobs's facilities are geographically located?
The facilities of Mykle A Jacobs are physically situated at the following location: 1587 Vernon Rd, Lagrange, GA, 302404146.
What is the Mykle A Jacobs's specialty and taxonomy code?
The Mykle A Jacobs's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date was the 1366557530 assigned to Mykle A Jacobs?
The Mykle A Jacobs was issued its 1366557530 on 2006-08-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mykle A Jacobs most recently updated or revised?
The information pertaining to Mykle A Jacobs, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-11.