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Dr. Eric Edwin Jacobsen, DDS
Pediatric Dentist in Phoenix, Arizona
NPI 1720241052

Eric Edwin Jacobsen is a Pediatric Dentist based in Glendale, AZ and is specialized in Pediatric Dentistry. Eric Edwin Jacobsen practices in Phoenix, AZ and has the professional credentials of DDS. The NPI Number for Eric Edwin Jacobsen is 1720241052 and holds a License No. D9115 (Arizona).

The current practice location address for Eric Edwin Jacobsen is 6750 N 19Th Ave, Phoenix, AZ and can be reached out via phone at 602-242-5741.

Location: 6750 N 19Th Ave, Phoenix, AZ, 85310-4264
person
Provider Profile Details
NPI Number
1720241052
Provider Name
Eric Edwin Jacobsen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6750 N 19Th Ave, Phoenix, AZ, 85310-4264
Phone Number
602-242-5741
Fax Number
Provider Enumeration Date
07/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6750 N 19Th Ave
City
State
Zip
85015-1127
Phone Number
602-242-5741
Fax Number
person
Provider Business Mailing Address Details
Address
6750 N 19Th Ave
City
State
Zip
85015-1127
Phone Number
602-242-5741
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
D9115 (Oregon)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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