Jacobson, Eric Stefan

Jacobson, Eric Stefan is an individual health care provider with primary practice located at 1508 Oxford Dr , Georgetown KY 40324-9266. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Jacobson, Eric Stefan can be contacted via phone (502) 863-0880.

Contact Information

Primary practice address
1508 Oxford Dr Georgetown KY 40324-9266
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9750 Kentucky
Dental Providers / Pediatric Dentistry 1223P0221X 9750 Kentucky

Profile Details

NPI number 1205284098
LBN Legal business name Jacobson, Eric Stefan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2016
Last updated Sep 30th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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