NPI 1205284098

Eric Stefan Jacobson, DMD

Practitioner Pediatric Dentistry Berea, KY

Practice location

Address: 1006 Ace Dr, Berea, KY 40403-1327
Phone: (859) 286-6999
Fax: (859) 406-1333

Registered specialties (2)

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 9750 (KY)

Other Dentist providers in Kentucky →

Dentist

Dental Providers Taxonomy 122300000X Licence 9750 (KY)

Registry record

NPI: 1205284098
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jun 2016
Record last updated: 20 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.