Individual provider · Type 1 NPI
Eric Stefan Jacobson, DMD
Pediatric Dentistry · Berea, KY
NPI number
1205284098
Active
Practice location
1006 Ace Dr
Berea, KY 40403-1327
Fax (859) 406-1333
Other practice locations
- 1722 Sharkey Way, Lexington, KY 40511-2028 · (859) 788-7123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 9750 (KY) |
| Dentist | 122300000X | 9750 (KY) |
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.
2 other providers at this address
About NPI 1205284098
Eric Stefan Jacobson, DMD's National Provider Identifier is 1205284098, issued on Jun 2, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Berea, KY. The record was last updated on May 20, 2026.