DR. THEODORE EDWARD JACOBSON DMD
NPI 1417649088
Dentist - Oral and Maxillofacial Surgery in Fresno, CA
NPI Status: Active since May 23, 2023
Contact Information
215 N FRESNO ST STE 490
FRESNO, CA
ZIP 93701
Phone: (559) 459-4191
- Individual
- Male
- Dentist
- Oral and Maxillofacial Surgery
About THEODORE JACOBSON
This page provides the complete NPI Profile along with additional information for Theodore Jacobson, a provider established in Fresno, California with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1417649088 assigned on May 2023. The practitioner's primary taxonomy code is 1223S0112X with license number DDS112415 (CA). The provider is registered as an individual and his NPI record was last updated February 2026.
- NPI
- 1417649088
- Provider Name
- DR. THEODORE EDWARD JACOBSON DMD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 215 N FRESNO ST STE 490 FRESNO, CA 93701
- Location Phone
- (559) 459-4191
- Mailing Address
- 215 N FRESNO ST STE 490 FRESNO, CA 93701
- Mailing Phone
- (559) 459-4191
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-23-2023
- Last Update Date
- 02-02-2026
- Code Navigator
A dentist like Theodore Jacobson is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- DDS112415
- License State
- CA
- Taxonomy Description
- An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1417649088, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
FRESNO, CA 93701
FRESNO, CA 93701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417649088, enumerated as an "individual" on May 23, 2023.
The provider is located at 215 N FRESNO ST STE 490 FRESNO, CA 93701 and the phone number is (559) 459-4191.
Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.
