DR. MYKLE A JACOBS D.D.S.
NPI 1366557530
Dentist - Oral and Maxillofacial Surgery in Lagrange, GA

Active since August 20, 2006
1587 VERNON RD, LAGRANGE, GA 30240(706) 884-2655(706) 883-7670 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mykle A Jacobs D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MYKLE A JACOBS D.D.S. (NPI 1366557530) is an individual oral and maxillofacial surgery provider in Lagrange, Georgia, licensed in Missouri (2005012885) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1366557530
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MYKLE A JACOBSCredential: D.D.S.
Location Address1587 VERNON RDLagrange, GA 30240-4146
Mailing Address1587 Vernon RdLagrange, GA 30240-4146 · (706) 884-2655 · Fax (706) 883-7670
Fax(706) 883-7670
Sole ProprietorNo
Enumeration DateAugust 20, 2006
Last NPPES UpdateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
NPI 1366557530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in MO · 2005012885
Definition
An oral and maxillofacial surgery dentist specialized in 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.
1587 VERNON RD, Lagrange, GA 30240

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
1587 VERNON RD
LAGRANGE, GA 30240
Dentist (Oral and Maxillofacial Pathology)
1587 VERNON RD
LAGRANGE, GA 30240
Dentist (Oral and Maxillofacial Pathology)
1587 VERNON RD
LAGRANGE, GA 30240
Dentist (Oral and Maxillofacial Pathology)
1587 VERNON RD
LAGRANGE, GA 30240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mykle Jacobs's NPI number?

The NPI number for Mykle Jacobs is 1366557530. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Mykle Jacobs located?

Mykle Jacobs practices at 1587 Vernon Rd, Lagrange, GA 30240. The listed phone number is (706) 884-2655.

What is Mykle Jacobs's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Mykle Jacobs accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Mykle Jacobs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mykle Jacobs was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.