Individual provider · Type 1 NPI
Spencer Jacobson, DMD
Pediatric Dentistry · Heber City, UT
NPI number
1467149633
Active
Practice location
575 S 200 E
Heber City, UT 84032-5666
Mailing address
4537 S Mossy Springs Ln
Millcreek, UT 84117-6999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 7019303-9925 (UT) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
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.
Another provider at this address
Other pediatric dentistry providers in Heber City
About NPI 1467149633
Spencer Jacobson, DMD's National Provider Identifier is 1467149633, issued on Apr 19, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Heber City, UT. The record was last updated on Oct 21, 2025.