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

Dr. Theodore Edward Jacobson, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1417649088

Dr. Theodore Edward Jacobson, DMD is an Oral and Maxillofacial Surgery (Dentist) in Fresno, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
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

215 N Fresno St Ste 490
Fresno, CA 93701-2363
Phone: (559) 459-4191
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DDS112415 (CA)

Record details

NPI number1417649088
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 23, 2023
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026

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