Jacob Dean Andersen, DMD

Dentist · Hawkins, TX

Individual Active NPI

NPI number 1174109789

Practice location

6264 S FM 14
Hawkins, TX 75765-4844
Phone
(903) 769-1606

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NPI record

NPI
1174109789
Entity type
Individual (Type 1)
Enumeration date
March 23, 2021
Last updated
January 6, 2026
Certified
January 6, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 38676 TX
General Practice Dentistry 1223G0001X 00000 NV
Dentist 122300000X 5971582 ID

Other practice locations (1)

  • 3209 W Bavaria St, Eagle, ID 83616-5171 · (208) 515-7845

About Dr. Andersen

Jacob Dean Andersen, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 6264 S FM 14, Hawkins, TX 75765-4844. The NPI number 1174109789 was assigned on March 23, 2021 and the record was last updated on January 6, 2026.

Dr. Andersen lists 3 licenses in the registry: #38676 (TX) for Dentist; #00000 (NV) for General Practice Dentistry; #5971582 (ID) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacob Dean Andersen, DMD?

The NPI number is 1174109789.

What is the phone number of Dr. Andersen?

The phone number listed for the practice location is (903) 769-1606.

Where is Dr. Andersen located?

6264 S FM 14, Hawkins, TX 75765-4844.

What is the taxonomy code for Dr. Andersen?

The primary taxonomy code is 122300000X – Dentist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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