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

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X7019303-9925 (UT)
Student in an Organized Health Care Education/Training Program 390200000XNone 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.

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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.