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DR. JACOB DEAN ANDERSEN DMD
NPI 1174109789
Dentist in Hawkins, TX

Active since March 23, 2021
6264 S FM 14, HAWKINS, TX 75765(903) 769-1606 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 6, 2026, Sep 1, 2022, Aug 8, 2022 and 1 more (4 updates tracked since 2021).

About Dr. Jacob Dean Andersen Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB DEAN ANDERSEN DMD (NPI 1174109789) is an individual dentist in Hawkins, Texas, licensed in Texas (38676) and active in the NPI registry since March 2021. He maintains a secondary practice location in Eagle.

NPPES Registry Identity

NPI1174109789
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JACOB DEAN ANDERSENCredential: DMD
Location Address6264 S FM 14Hawkins, TX 75765-4844
Mailing Address6264 S Fm 14Hawkins, TX 75765-4844 · (903) 769-1606
Phone(903) 769-1606
Sole ProprietorYes
Enumeration DateMarch 23, 2021
Last NPPES UpdateJanuary 6, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1174109789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in TX · 38676✔ Licensed in ID · 5971582
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 00000 (NV)
6264 S FM 14, Hawkins, TX 75765
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Secondary Practice Location 1

Location 13209 W Bavaria StEagle, ID 83616-5171 · Phone (208) 515-7845

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW B ROSSON DDS
Dentist
6264 S FM 14
HAWKINS, TX 75765
Wood County (903) 769-1606
REBECCA A DAVENPORT DDS
Dentist
6264 S FM 14
HAWKINS, TX 75765
Wood County (903) 769-1606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Andersen's NPI number?

The NPI number for Jacob Andersen is 1174109789. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Jacob Andersen located?

Jacob Andersen practices at 6264 S Fm 14, Hawkins, TX 75765. The listed phone number is (903) 769-1606.

What is Jacob Andersen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jacob Andersen was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.