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JACOBSEN PEDIATRIC DENTISTRY
NPI 1902271539
Dentist - Pediatric Dentistry in Riverton, UT

Active since December 08, 2015
4019 W 12600 S STE 200, RIVERTON, UT 84096(801) 302-7938 Get Directions Write a Review

NPPES record last updated: December 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacobsen Pediatric Dentistry NPPES

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

JACOBSEN PEDIATRIC DENTISTRY (NPI 1902271539) is a healthcare organization registered as a pediatric dentistry in Riverton, Utah and active in the NPI registry since December 2015. The organization lists Matthew Vaughn Jacobsen, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1902271539
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMATTHEW JACOBSEN PEDIATRIC DENTISTRY
Location Address4019 W 12600 S STE 200Riverton, UT 84096-7406
Mailing Address4019 W 12600 S Ste 200Riverton, UT 84096-7406 · (801) 302-7938
Phone(801) 302-7938
Organization SubpartNo
Authorized OfficialMatthew Vaughn JacobsenPediatric Dentist · (801) 589-3150
Enumeration DateDecember 8, 2015
✔ NPI 1902271539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in UT · 83203479923
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4019 W 12600 S STE 200, Riverton, UT 84096
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Other Names 1

Doing Business AsJacobsen Pediatric Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

AML DIAGNOSTIC LABORATORY UTAH AMERILABS
Clinical Medical Laboratory
4019 W 12600 S STE 200
RIVERTON, UT 84096
Salt Lake County (801) 515-4114
CODY SHIPLEY
Social Worker (Clinical)
4019 W 12600 S STE 200
RIVERTON, UT 84096
Salt Lake County (505) 401-8842
MR. WILLIAM ALAN LINDSAY LCSW
Social Worker (Clinical)
4019 W 12600 S STE 200
RIVERTON, UT 84096
Salt Lake County (801) 599-9062
KEELY MCGEE LCSW
Social Worker (Clinical)
4019 W 12600 S STE 200
RIVERTON, UT 84096
Salt Lake County (801) 217-9600

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 Matthew Jacobsen Pediatric Dentistry's NPI number?

The NPI number for Matthew Jacobsen Pediatric Dentistry is 1902271539. It was assigned to this organization in the NPPES registry on December 8, 2015. The provider is doing business as Jacobsen Pediatric Dentistry.

Where is Matthew Jacobsen Pediatric Dentistry located?

Matthew Jacobsen Pediatric Dentistry is located at 4019 W 12600 S Ste 200, Riverton, UT 84096. The listed phone number is (801) 302-7938.

What is Matthew Jacobsen Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Matthew Jacobsen Pediatric Dentistry was last updated on December 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.