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

Jacob Leon Erickson, DMD

Individual provider Dentist · NPI 1407738289

Jacob Leon Erickson, DMD is a Dentist in Nampa, Idaho. Graduated from Oregon Health Sciences University School of Medicine in 2025, 1 year ago. Works from 2 locations. Licensed in Idaho.

Years since qualifying
1
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
ID
In the registry since
2025
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

11136 Moss Ln
Nampa, ID 83651-8015
Phone: (208) 466-0515
Fax: (208) 466-5359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3115 E Florence Dr, Meridian, ID 83642-1586 — (208) 991-2963

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 8971560 (ID)
Dentist Taxonomy 122300000X · Licence 8971560 (ID)

Record details

NPI number1407738289
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 23, 2025
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025
Mailing addressPo Box 9, Nampa, ID 83653-0009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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