David Scott Jacobson, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10687964-9923 Issued in UT

Practice address

62 E Thrive Dr
Saratoga Springs, UT 84045-5558

Phone

(385) 200-0613

NPI assigned

Aug 17, 2011

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alex Sharifian, D.D.S., Tiffany Springs Dental Group, P.C.

  dba Tiffany Springs Dental Group

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1851642508
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1386924785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 E IRONWOOD DR",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455036",
            "telephone_number": "702-290-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 E THRIVE DR",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455558",
            "telephone_number": "385-200-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-17",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "10687964-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deoriana Ili
• Christine Elizabeth Burns Jackson, CPNP, RN
• Jaresa Jackson
• Timothy Jackson
• Bethany Jacobsen
• Travis Earl Jarrett, DPT
• Alice Michelle Jensen, RN
• Camilla Jensen, MS, RD, CD
• Erin M Jensen, CMHC
• Tyson Joseph Jensen, LCSW

• Pediatric Dentistry in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.