Eric Edwin Jacobsen, DDS
Pediatric Dentistry · Phoenix, AZ
Practice location
6750 N 19TH AvePhoenix, AZ 85015-1127
- Phone
- (602) 242-5741
NPI record
- NPI
- 1720241052
- Entity type
- Individual (Type 1)
- Enumeration date
- July 7, 2008
- Last updated
- October 15, 2009
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X |
D7908 | AZ |
| Pediatric Dentistry | 1223P0221X |
D9115 | OR |
Mailing address
22320 N 59TH LnGlendale, AZ 85310-4264
- Phone
- (443) 562-5564
About Dr. Jacobsen
Eric Edwin Jacobsen, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 6750 N 19TH Ave, Phoenix, AZ 85015-1127. The NPI number 1720241052 was assigned on July 7, 2008 and the record was last updated on October 15, 2009.
Dr. Jacobsen lists 2 licenses in the registry: #D7908 (AZ) for Pediatric Dentistry; #D9115 (OR) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Eric Edwin Jacobsen, DDS?
The NPI number is 1720241052.
What is the phone number of Dr. Jacobsen?
The phone number listed for the practice location is (602) 242-5741.
Where is Dr. Jacobsen located?
6750 N 19TH Ave, Phoenix, AZ 85015-1127.
What is the taxonomy code for Dr. Jacobsen?
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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