Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Andrew Gene Jacobson, DMD

Individual provider General Practice Dentistry · NPI 1922080654

Dr. Andrew Gene Jacobson, DMD is a General Practice Dentistry in Rockville Centre, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

132 N Park Ave
Rockville Centre, NY 11570-4107
Phone: (516) 665-1029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 034197 (NY)
General Practice Dentistry Taxonomy 1223G0001X · Licence 034197 (NY)

Record details

NPI number1922080654
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedNovember 17, 2005
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024

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