Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720241052 Individual Practitioner Male Practitioner

Dr. Eric Edwin Jacobsen , DDS

Dentist - Pediatric Dentistry • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Eric Jacobsen, DDS is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Phoenix, AZ. Practice services are available at 6750 N 19TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6750 N 19th Ave

Phoenix, AZ 850151127

Telephone 6022425741
Associated Practice Facility / Clinic
🏢 Phoenix Pediatric Dental, Llc Facility NPI 1891875498

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 5.7 Yrs
Regional Practice Density
51 Specialists

Practicing in Phoenix, AZ (245 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License AZ D7908

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.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License OR D9115

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Jared Sorensen , DDS

Dentist - Pediatric Dentistry

NPI 1104055771

Doctor of Dental Surgery

Dr. Shannon Weir , DDS

Dentist - General Practice

NPI 1215624788

Doctor of Dental Surgery

Dr. Neal Nation , DDS

Dentist - Pediatric Dentistry

NPI 1639152184

Doctor of Dental Surgery

Suchita Mandair

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1669003422
Dr. Gavin Christensen , DMD

Dentist - Pediatric Dentistry

NPI 1861663635

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 15, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2009

Registered at 6750 N 19TH AVE, PHOENIX, AZ 850151127 (Tel: 6022425741)

📍
Updated Business Mailing Address October 15, 2009

Registered at 22320 N 59TH LN, GLENDALE, AZ 853104264 (Tel: 4435625564)

👤
Provider Name / Credentials Updated October 15, 2009

Recorded as ERIC JACOBSEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2009

Dentist (License #D7908 in AZ)

🟢
Initial NPI Registration & Enumeration July 07, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720241052
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2008
Last Update: October 15, 2009
Sole Proprietor: No

Mailing Address

22320 N 59th Ln

Glendale, AZ 853104264

Phone: 4435625564

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.