DR. Brandon Thomas Jacobson, DMD

NPI #1164219093 in Idaho Falls, Idaho

Provider Information

NPI Number
1164219093
Entity Type
Individual
Name
DR. Brandon Thomas Jacobson, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Apr 23, 2025
Last Updated
Apr 23, 2025

Practice Location

Address
885 PANCHERI DR
State
Idaho
ZIP Code
83402-3344
Phone
(208) 524-0870

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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