DR. ERIC STEFAN JACOBSON (NPI# 1205284098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205284098 |
| Entity Type | Individual |
| Full Name | DR. ERIC STEFAN JACOBSON |
| Credential | D.M.D. |
| Practice Address |
1508 Oxford Dr Georgetown KY 40324-9266 |
| Practice Telephone | 5028630880 |
| Mailing Telephone | 5028630880 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 9750 | KY | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
9750 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306340153 | Eric Sheldon Jacobson | Internal Medicine | 2956 Hathaway Rd, Apt. 1101, Richmond, VA 23225 | 2018-03-19 |
| 1336266170 | Eric J Jacobson | Emergency Medicine | 7149 Blacksheep Run, Fort Campbell, KY 42223-5111 | 2007-03-26 |
| 1477699692 | Eric Jacobson | Physical Medicine & Rehabilitation | 5822 Broadway, Bronx, NY 10463-2454 | 2007-01-29 |
| 1962594333 | Eric Jacobson | Art Therapist | 7 Windsor Pl, Brooklyn, NY 11215-5610 | 2006-09-29 |
| 1093759151 | Eric Dudley Jacobson | Radiology | 809 West Stetson Avenue Suite B, Apex Radiology Medical Group, Inc, Hemet, CA 92543 | 2006-06-16 |
| 1932691862 | Eric Scott Jacobson | Family Medicine | 725 Hamline St, Grand Forks, ND 58203-2819 | 2018-06-06 |
| 1043617434 | Eric K Jacobson | Physician Assistant | 390 River Street, Springfield, VT 05156-2226 | 2014-12-01 |
| 1841332715 | Eric Jacobson | Psychologist | 3905 Ford Rd, Philadelphia, PA 19131-2824 | 2007-02-13 |
| 1861530198 | Eric S. Jacobson | Pathology | 19300 Sw 65th Ave, Laboratory, Tualatin, OR 97062-7706 | 2007-02-01 |
| 1497762397 | Eric M Jacobson | Psychiatry & Neurology | 23625 Holman Hwy, Monterey, CA 93940-5902 | 2006-08-02 |
| Street Address |
1508 OXFORD DR |
| City | GEORGETOWN |
| State | KY |
| Zip Code | 40324-9266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245347897 | Brandon Ira Allen | Dentist | 1508 Oxford Dr, Georgetown, KY 40324-9266 | 2006-08-23 |
| 1497386049 | Kids Dentistree of Ky LLC | Dentist | 1508 Oxford Dr, Georgetown, KY 40324-9266 | 2020-02-03 |
| 1669774022 | Mortenson Family Dental Center - Georgetown, Pllc | Clinic/Center | 1508 Oxford Dr, Georgetown, KY 40324-9266 | 2010-11-17 |
| 1114128410 | M. Suzanne Ahnquist, D.m.d. | Dentist | 1508 Oxford Dr, Georgetown, KY 40324-9266 | 2007-05-31 |
| 1619014701 | Tabatha Mann Adams | Dentist | 1508 Oxford Dr, Georgetown, KY 40324-9266 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457577 | Katherine Lynn Helly | Specialist/Technologist | 108 Crawford Dr, Georgetown, KY 40324 | 2020-08-12 |
| 1629530597 | Hannah Cheyenne Lambert | Occupational Therapy Assistant | 12 Dover Dr, Georgetown, KY 40324 | 2019-04-01 |
| 1669932430 | Kathlyn Reeves Cummings | Occupational Therapist | 112 Dover Drive Dover Manor, Georgetown, KY 40324 | 2019-03-20 |
| 1356848147 | Conundrum, Inc | Home Health | 107 Frazier Ct Ste 2b, Georgetown, KY 40324 | 2018-04-09 |
| 1831698893 | Staci Case | Counselor | 110 E. Main St. Suite 111, Georgetown, KY 40324 | 2018-02-06 |
| 1821537002 | Lesa Young | Counselor | 112 Gatewood Drive, Georgetown, KY 40324 | 2017-02-21 |
| 1508235904 | Recovery Works | Specialist | 3109 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1417326810 | Recovery Works | Specialist | 3111 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1982073383 | Recovery Works | Specialist | 3109-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| 1871962274 | Recovery Works | Specialist | 3111-5 Cincinnati Road, Georgetown, KY 40324 | 2015-09-16 |
| Find all providers in zip 40324 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366613978 | Travis Reed Hildebrand | Dentist | 4402 Williams Dr, Ste 106, Georgetown, TX 78628-1341 | 2008-03-22 |
| 1447331509 | Pediatric Dentistry of Georgetown, Pllc | Dentist | 101 Darby Dr Ste 101, Georgetown, KY 40324-8715 | 2006-10-17 |
| 1396835575 | Hamid Yazdi | Dentist | 9415 W State Highway 29, Georgetown, TX 78628-6914 | 2006-10-16 |
| 1497386049 | Kids Dentistree of Ky LLC | Dentist | 1508 Oxford Dr, Georgetown, KY 40324-9266 | 2020-02-03 |
| 1184909814 | Liberty Hill Pediatric Dentistry, Pa | Dentist | 9415 W State Highway 29, Georgetown, TX 78628-6914 | 2011-10-13 |
| 1801060660 | Kelly M. Gonzales, Dds, PC | Dentist | 1103 Rivery Blvd, Ste 140, Georgetown, TX 78628-3034 | 2008-04-14 |
| 1588836183 | Kenneth Seely Havard | Dentist | 4402 Williams Dr, Suite 106, Georgetown, TX 78628-1341 | 2008-03-24 |
| 1417128687 | Kelly Marie Gonzales | Dentist | 1103 Rivery Blvd, Ste. 140, Georgetown, TX 78628-3034 | 2008-03-17 |
| 1083807945 | Dentistry for Children | Dentist | 205 Champion Way, Suite 9, Georgetown, KY 40324-8862 | 2007-08-23 |
| 1588788970 | Alison Damarodas Campbell | Dentist | 1103 Rivery Blvd, Ste 140, Georgetown, TX 78628-3034 | 2007-03-19 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 40324 |
Please comment or provide details below to improve the information on DR. ERIC STEFAN JACOBSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.