Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN BERNARD JACOBUS, DDS, MS, PA
Active Sole ProprietorDR. BRIAN BERNARD JACOBUS, DDS, MS, PA is a Orthodontics healthcare provider located in PORT ST LUCIE, Florida. NPI 1134143340 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · PORT ST LUCIE, FL
Registration Details
- NPI Number
- 1134143340
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (20.024906182598 yrs)
- Last Updated
- Dec 19, 2007
- License
-
DN10314 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 SW SAINT LUCIE WEST BLVD STE 207PORT ST LUCIE, FL, 349861735Browse FL providers · Browse ZIP 34986
- Phone
- 7723400023
- Fax
- 7723400840
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in PORT ST LUCIE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. ANN L WILSON | DDS | 1376759613 |
| DR. ARGHAVAN BAHRAMNEJAD | DMD | 1245595222 |
| DR. SAMANTHA R BOGLE | DMD | 1770010043 |
| ALEXANDER ROBERT DESMAN | DMD, MS | 1942798574 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.