Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MYKLE A JACOBS, D.D.S.
ActiveDR. MYKLE A JACOBS, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in LAGRANGE, Georgia. NPI 1366557530 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · LAGRANGE, GA
Registration Details
- NPI Number
- 1366557530
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2006 (20.030329719856 yrs)
- Last Updated
- Aug 11, 2020
- License
-
2005012885 (MO)
Practice Information
- Address
-
1587 VERNON RDLAGRANGE, GA, 302404146Browse GA providers · Browse ZIP 30240
- Phone
- 7068842655
- Fax
- 7068837670
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
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.