Brian Bernard Jacobus in Port St Lucie - Orthodontics And Dentofacial Orthopedics
Brian Bernard Jacobus - NPI 1134143340
Brian Bernard Jacobus is a Orthodontics And Dentofacial Orthopedics in Port St Lucie, Florida. Brian Bernard Jacobus practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Brian Bernard Jacobus is 1134143340. The last update date is 2007-12-19.
Brian Bernard Jacobus's current location address is 1100 Sw Saint Lucie West Blvd Ste 207, Port St Lucie, Florida. You can contact this provider via phone number 7723400023 and fax number 7723400840. The mailing address for Brian Bernard Jacobus is 1100 Sw Saint Lucie West Blvd Ste 207, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brian Bernard Jacobus |
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Address | 1100 Sw Saint Lucie West Blvd Ste 207, Port St Lucie, Florida |
Phone Number | 7723400023 |
Fax Number | 7723400840 |
Sole Proprietor | Y |
Credentials | DDS, MS, P |
NPI Number Detail
NPI Number | 1134143340 |
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Provider Enumeration Date | 2006-07-27 |
Last Updated Date | 2007-12-19 |
Provider Mailing Address Detail
Address | 1100 Sw Saint Lucie West Blvd Ste 207 |
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City | Port St Lucie |
State | Florida (FL) |
Post Code | 349861735 |
Phone Number | 7723400023 |
Fax Number | 7723400840 |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | DN10314 |
Definition: 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 rel |
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What is the unique 10-digit identifier code issued to Brian Bernard Jacobus by the Centers for Medicare & Medicaid Services?
The Brian Bernard Jacobus has been assigned the NPI (National Provider Identifier) 1134143340 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Brian Bernard Jacobus is physically located?
The Brian Bernard Jacobus is situated at the following address: 1100 Sw Saint Lucie West Blvd Ste 207, Port St Lucie, FL 349861735.
Could you please share the complete physical location address where Brian Bernard Jacobus's facilities are situated?
The facilities of Brian Bernard Jacobus are physically located at the following address: 1100 Sw Saint Lucie West Blvd Ste 207, Port St Lucie, FL, 349861735.
On what date did the Brian Bernard Jacobus receive the assignment of its 1134143340 from the Centers for Medicare & Medicaid Services?
The Brian Bernard Jacobus was issued its 1134143340 by the Centers for Medicare & Medicaid Services on 2006-07-27.
When was the information regarding Brian Bernard Jacobus most recently updated?
The details pertaining to the Brian Bernard Jacobus, including its address, specialty, and other relevant information, were last refreshed on 2007-12-19.
NPI Number: 1245233907
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