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

Dr. Jacob Johnson Hanseen, DMD

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1295292340

Dr. Jacob Johnson Hanseen, DMD is an Orthodontics and Dentofacial Orthopedics Dentistry in Glendora, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

175 N Pennsylvania Ave
Glendora, CA 91741-3316
Phone: (626) 963-4173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1820 N Perris Blvd Ste 70, Perris, CA 92571-2714 — (951) 349-4106

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 103563 (CA)

Record details

NPI number1295292340
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedFebruary 25, 2019
Last updated in NPPESFebruary 25, 2019
Mailing address518 Magnolia St, Denver, CO 80220-6014

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