Eric E Jacobsen DDS PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ERIC E JACOBSEN DDS PC

Practice address

19502 Molalla Avenue
Suite 109-111
Oregon City, OR 97045

Phone

(443) 562-5564

NPI assigned

Mar 1, 2013

Organization subpart

No

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

Authorized official

Name

Eric Jacobsen

Title

Owner

Phone

(443) 562-5564

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Eric E Jacobsen DDS PC

  • Pediatric Dentistry
  • Oregon City, OR
  • NPI 1225678139
  NPPES parent name

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1952641870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17501 S JEAN DR",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970457833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19502 MOLALLA AVENUE",
            "address_2": "SUITE 109-111",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "97045",
            "telephone_number": "443-562-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC E JACOBSEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-562-5564"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanna J Engber, COTA
• Elisa Ann Engbretson, NP
• John H. Engle, D.D.S.
• Kenneth Alan Ensroth, MD
• Eric E Jacobsen DDS PC
• Lisa Ernst
• Jennifer Jean Riccitelli Errico, LCSW
• Nina Ann Escobedo, RD
• Carly Espinosa
• Dianne Kaye Kaiya Essary, RDH

• Pediatric Dentistry in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.