Search › Georgia › 1223S0112X
Mykle Jacobs, D.D.S
NPI 1366557530 · on the registry since 2006
Practice
- Address
- 1587 Vernon Rd
Lagrange, GA 30240 - Phone
- (706) 884-2655
- Fax
- (706) 883-7670
- Organisation at this address
- West Ga Oral Surgery Associates, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia