Eric Edwin Jacobsen in Phoenix - Pediatric Dentistry
Eric Edwin Jacobsen - NPI 1720241052
Eric Edwin Jacobsen is a Pediatric Dentistry in Phoenix, Arizona. Eric Edwin Jacobsen practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Eric Edwin Jacobsen is 1720241052. The last update date is 2009-10-15.
Eric Edwin Jacobsen's current location address is 6750 N 19th Ave, Phoenix, Arizona. You can contact this provider via phone number 6022425741. The mailing address for Eric Edwin Jacobsen is 6750 N 19th Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Edwin Jacobsen |
|---|---|
| Address | 6750 N 19th Ave, Phoenix, Arizona |
| Phone Number | 6022425741 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1720241052 |
|---|---|
| Provider Enumeration Date | 2008-07-07 |
| Last Updated Date | 2009-10-15 |
Provider Mailing Address Detail
| Address | 6750 N 19th Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850151127 |
| Phone Number | 6022425741 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D9115 |
|
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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Post Comment/ Review Below
What is the unique provider identifier assigned to Eric Edwin Jacobsen?
The Eric Edwin Jacobsen has been issued the NPI (National Provider Identifier) 1720241052 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Eric Edwin Jacobsen is located?
The Eric Edwin Jacobsen is situated at the following address: 6750 N 19Th Ave, Phoenix, AZ, 850151127.
What is Eric Edwin Jacobsen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Eric Edwin Jacobsen's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
When did Eric Edwin Jacobsen receive its 1720241052 assignment?
The Eric Edwin Jacobsen was assigned its 1720241052 on 2008-07-07, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Eric Edwin Jacobsen most recently updated or revised?
The information pertaining to Eric Edwin Jacobsen, including its address, specialty, and other relevant details, was last updated or revised on 2009-10-15.
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