Provider record
Eric Edwin Jacobsen DDS
Eric Edwin Jacobsen DDS is listed in CMS NPPES as an individual provider record with a Pediatric Dentistry taxonomy. The record shows a practice location at 6750 N 19th Ave, Phoenix, AZ. NPPES also reports a phone number. Confirm current office details directly with the provider.
National Plan and Provider Enumeration System
CMS NPPES
Reported to NPPES
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We show source-reported CMS NPPES fields.
Confirm details directly with the provider.NPI and status
Source-labeled identifiers and reported record state.
- NPI
- 1720241052
- Entity type
- Individual
- NPPES status
- Reported active
- License status
- Not primary-source verified
Practice location
Practice address and phone as reported in CMS NPPES.
- Address
- 6750 N 19th Ave
Phoenix, AZ 85015-1127 - Phone
- (602) 242-5741
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Nearby dentists
Approximate straight-line distance from this practice location.
Taxonomy and source
Specialty taxonomy is source-reported and not a quality or license determination.
- Taxonomy code
- 1223P0221X
- Specialty
- Pediatric Dentistry
- Source
- CMS NPPES
- Last updated
- July 12, 2026
Record actions
Contact and sources
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