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Dr. Mykle A Jacobs, DDS
Oral and Maxillofacial Surgery (Dentist) in Lagrange, Georgia
NPI 1366557530

Mykle A Jacobs is a Oral and Maxillofacial Surgery (Dentist) based in Lagrange, GA and is specialized in Oral and Maxillofacial Surgery. Mykle A Jacobs practices in Lagrange, GA and has the professional credentials of DDS. The NPI Number for Mykle A Jacobs is 1366557530 and holds a License No. 2005012885 (Georgia).

The current practice location address for Mykle A Jacobs is 1587 Vernon Rd, Lagrange, GA and can be reached out via phone at 706-884-2655 and via fax at 706-883-7670.

Location: 1587 Vernon Rd, Lagrange, GA, 30240-4146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366557530
Provider Name
Mykle A Jacobs
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1587 Vernon Rd, Lagrange, GA, 30240-4146
Phone Number
706-884-2655
Fax Number
706-883-7670
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1587 Vernon Rd
City
Lagrange
State
Georgia
Zip
30240-4146
Phone Number
706-884-2655
Fax Number
706-883-7670
person
Provider Business Mailing Address Details
Address
1587 Vernon Rd
City
Lagrange
State
Georgia
Zip
30240-4146
Phone Number
706-884-2655
Fax Number
706-883-7670
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
2005012885 (Missouri)
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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