Individual
DR. KRISTEN WALTERS JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1005 EXECUTIVE DR, SUITE 105, HIXSON, TN 37343-7903
(423) 877-1286
(423) 877-1290
Mailing address
1005 EXECUTIVE DR, SUITE 105, HIXSON, TN 37343-7903
(423) 877-1286
(423) 877-1290
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS0000008805
TN
Other
Enumeration date
07/20/2006
Last updated
10/01/2013
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