IndividualActive
Bradley Jacobs, DDS MS
NPI 1356444384 · Orthodontics and Dentofacial Orthopedics Dentistry · Hixson, TN
Provider details
- NPI number
- 1356444384
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS MS
- Sex
- Male
- Sole proprietor
- No
- License
- DS8742 (TN)
Practice location
1005 Executive Dr
Suite 105
Hixson, TN 37343-7903
Phone: (423) 877-1286
Fax: (423) 877-1290
Mailing address
1005 Executive Dr
Hixson, TN 37343-7903
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2009-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.