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
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-3344
- Phone
- (208) 524-0870
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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