Theodore Jacobson, DMD
NPI 1417649088 · Oral and Maxillofacial Surgery (Dentist) · Fresno, CA
Theodore Jacobson, DMD is a Oral and Maxillofacial Surgery (Dentist) provider in Fresno, CA (NPI 1417649088).
Provider details
- NPI number
- 1417649088
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DDS112415 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2023-05-23
- Last updated
- 2026-02-02
- Certified
- 2026-02-02
Frequently asked questions
- What is Theodore Jacobson's NPI number?
- Theodore Jacobson's National Provider Identifier (NPI) is 1417649088, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Jacobson's specialty?
- Theodore Jacobson is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Theodore Jacobson located?
- Theodore Jacobson's practice location on file with NPPES is 215 N Fresno St Ste 490, Fresno, CA 93701-2363.
- What is Theodore Jacobson's phone number?
- The practice phone number listed in the NPPES registry for Theodore Jacobson is (559) 459-4191.
- Is Theodore Jacobson's NPI active?
- Yes — Theodore Jacobson's NPI (1417649088) is active in the NPPES registry as of the last update on 2026-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.