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

Dr. Eric Edwin Jacobsen, DDS

Individual provider Pediatric Dentistry · NPI 1720241052

Dr. Eric Edwin Jacobsen, DDS is a Pediatric Dentistry in Phoenix, Arizona. Licensed in Arizona and Oregon. Registered with an NPI since 2008.

Licensed in
AZ, OR
In the registry since
2008
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

6750 N 19th Ave
Phoenix, AZ 85015-1127
Phone: (602) 242-5741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D7908 (AZ)
Pediatric Dentistry Taxonomy 1223P0221X · Licence D9115 (OR)

Record details

NPI number1720241052
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 7, 2008
Last updated in NPPESOctober 15, 2009
Mailing address22320 N 59th Ln, Glendale, AZ 85310-4264

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