1. Home
  2. Directory
  3. California
  4. Fresno
  5. Dentist
  6. NPI Profile

DR. THEODORE EDWARD JACOBSON DMD
NPI 1417649088
Dentist - Oral and Maxillofacial Surgery in Fresno, CA

Active since May 23, 2023
215 N FRESNO ST STE 490, FRESNO, CA 93701(559) 459-4191 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2026, May 23, 2023 (2 updates tracked since 2023).

About Dr. Theodore Edward Jacobson Dmd NPPES

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

DR. THEODORE EDWARD JACOBSON DMD (NPI 1417649088) is an individual oral and maxillofacial surgery provider in Fresno, California, licensed in California (DDS112415) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1417649088
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. THEODORE EDWARD JACOBSONCredential: DMD
Location Address215 N FRESNO ST STE 490Fresno, CA 93701-2363
Mailing Address215 N Fresno St Ste 490Fresno, CA 93701-2363 · (559) 459-4191
Phone(559) 459-4191
Sole ProprietorNo
Enumeration DateMay 23, 2023
Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1417649088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · DDS112415
Definition
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.
215 N FRESNO ST STE 490, Fresno, CA 93701
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

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

HEAD AND NECK ASSOCIATES OF CENTRAL CALIFORNIA
Oral & Maxillofacial Surgery
215 N FRESNO ST STE 490
FRESNO, CA 93701
Fresno County (559) 459-4101
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
Dentist (General Practice)
215 N FRESNO ST STE 490
FRESNO, CA 93701
Fresno County (559) 459-6927
DR. DAVID AU DDS
Dentist
215 N FRESNO ST STE 490
FRESNO, CA 93701
Fresno County (559) 459-5744
ASHLEY NAVARRO FNP-C
Nurse Practitioner (Family)
215 N FRESNO ST STE 490
FRESNO, CA 93701
Fresno County (559) 459-4027
AHMED ZAIDI DMD
Dentist (Oral and Maxillofacial Surgery)
215 N FRESNO ST STE 490
FRESNO, CA 93701
Fresno County (559) 459-6114

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 Theodore Jacobson's NPI number?

The NPI number for Theodore Jacobson is 1417649088. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Where is Theodore Jacobson located?

Theodore Jacobson practices at 215 N Fresno St Ste 490, Fresno, CA 93701. The listed phone number is (559) 459-4191.

What is Theodore Jacobson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Theodore Jacobson was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.