Eric Jacobsen, DDS

NPI 1720241052 · on the registry since 2008

Practice

Address: 6750 N 19th Ave
Phoenix, AZ 85015
Phone: (602) 242-5741
Organisation at this address: Therapyworx, Llc
Phoenix Orthodontics Llc
Phoenix Pediatric Dental
Phoenix Pediatric Dental, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Pediatric Dentistry
1223P0221X
Also registered as: Pediatric Dentistry
Licence states on file: OR, AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-10-15

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 Arizona