Eric Stefan Jacobson, D.M.D.

Pediatric Dentistry · Berea, KY

Individual Active NPI

NPI number 1205284098

Practice location

1006 Ace Dr
Berea, KY 40403-1327
Phone
(859) 286-6999
Fax
(859) 406-1333

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NPI record

NPI
1205284098
Entity type
Individual (Type 1)
Enumeration date
June 2, 2016
Last updated
May 20, 2026
Certified
May 20, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 9750 KY
Dentist 122300000X 9750 KY

Other practice locations (1)

  • 1722 Sharkey Way, Lexington, KY 40511-2028 · (859) 788-7123

About Dr. Jacobson

Eric Stefan Jacobson, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 1006 Ace Dr, Berea, KY 40403-1327. The NPI number 1205284098 was assigned on June 2, 2016 and the record was last updated on May 20, 2026.

Dr. Jacobson lists 2 licenses in the registry: #9750 (KY) for Pediatric Dentistry; #9750 (KY) 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 Eric Stefan Jacobson, D.M.D.?

The NPI number is 1205284098.

What is the phone number of Dr. Jacobson?

The phone number listed for the practice location is (859) 286-6999.

Where is Dr. Jacobson located?

1006 Ace Dr, Berea, KY 40403-1327.

What is the taxonomy code for Dr. Jacobson?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry; 1 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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