Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205284098 Individual Practitioner Male Practitioner

Dr. Eric Stefan Jacobson , DMD

Dentist - Pediatric Dentistry • Berea, KY

Professional Overview & Biography Verified Profile Summary

Dr. Eric Jacobson, DMD is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Berea, KY. Practice services are available at 1006 ACE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1006 Ace Dr

Berea, KY 404031327

Telephone 8592866999
Fax 8594061333
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Berea, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Berea, KY (164 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

CMS Verified: 2026-05-20
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License KY 9750

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

NUCC Taxonomy Code: 122300000X

State License KY 9750

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

1722 Sharkey Way

Lexington, KY 405112028

Phone: 8597887123

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location May 20, 2026

Registered at 1006 ACE DR, BEREA, KY 404031327 (Tel: 8592866999)

📍
Updated Business Mailing Address May 20, 2026

Registered at 1006 ACE DR, BEREA, KY 404031327 (Tel: 8592866999)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2026

Dentist (License #9750 in KY)

📍
Updated Practice Location September 30, 2020

Registered at 1508 OXFORD DR, GEORGETOWN, KY 403249266 (Tel: 5028630880)

📍
Updated Business Mailing Address September 30, 2020

Registered at 1508 OXFORD DR, GEORGETOWN, KY 403249266 (Tel: 5028630880)

NPI Profile Active June 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2016

Registered at 7901 MALL RD STE 500, FLORENCE, KY 410423419 (Tel: 8596477600)

📍
Updated Business Mailing Address June 02, 2016

Registered at 7901 MALL RD STE 500, FLORENCE, KY 410423419

👤
Provider Name / Credentials Updated June 02, 2016

Recorded as ERIC JACOBSON, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2016

Dentist (License #9750 in KY)

🟢
Initial NPI Registration & Enumeration June 02, 2016

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: 1205284098
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2016
Last Update: May 20, 2026
Sole Proprietor: No

Mailing Address

1006 Ace Dr

Berea, KY 404031327

Phone: 8592866999

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.