Search › Texas › 122300000X
Jacob Andersen, DMD
NPI 1174109789 · on the registry since 2021 · sole proprietor
Practice
- Address
- 6264 S Fm 14
Hawkins, TX 75765 - Phone
- (903) 769-1606
- Clinicians at this address
- 3
Additional practice sites
- 3209 W Bavaria St, Eagle, ID
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223G0001X
122300000X - Licence states on file
- NV, ID, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas