OrganizationActive
Kentucky Dental Anesthesia Services
NPI 1013696723 · Anesthesiology Physician · Berea, KY
Provider details
- NPI number
- 1013696723
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eric Jacobson, Member(859) 420-9187
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatric Anesthesiology Physician207LP3000X
Allopathic & Osteopathic Physicians
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1006 Ace Dr
Berea, KY 40403-1327
Phone: (859) 420-9187
Street-level locationGet directions
Mailing address
1006 Ace Dr
Berea, KY 40403-1327
Other names (DBA / former)
- Former legal business name
- Kentucky Dental Anesthesia Services
- Former legal business name
- Kentucky Dental Anesthesia Services
Registry dates
- Enumerated
- 2023-07-12
- Last updated
- 2024-10-30
- Certified
- 2024-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.