Jacobsen Pediatric Dentistry – Pediatric Dentistry, NPI 1902271539

Jacobsen Pediatric Dentistry is a healthcare provider. based in Riverton, Utah. specializing in Pediatric Dentistry. The organization holds a License No. 83203479923 (UT). The NPI Number for Jacobsen Pediatric Dentistry is 1902271539

Main info

Organization
Name
Jacobsen Pediatric Dentistry
NPI
1902271539
Phone
(801) 302-7938
Address
4019 W 12600 S STE 200
Authorized Official
DR. MATTHEW VAUGHN JACOBSEN PEDIATRIC DENTIST DDS
Enumeration Date
8 December 2015
Last Update Date
8 December 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness80
Years active:10State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Jacobsen Pediatric Dentistry

  • 4019 W 12600 S STE 200

    RIVERTON, UT 840967406

    Phone: (801) 302-7938

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84096)

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Reviews

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Frequently asked questions

Can I verify Jacobsen Pediatric Dentistry with an NPI only?
You can start verification with NPI 1902271539 for Jacobsen Pediatric Dentistry, then check state licensing separately.
Can I rely on Jacobsen Pediatric Dentistry being an active provider?
As of the registry snapshot, Jacobsen Pediatric Dentistry is marked active.
What healthcare role does Jacobsen Pediatric Dentistry hold?
Scheduling teams often label Jacobsen Pediatric Dentistry under Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
Where is Jacobsen Pediatric Dentistry based?
Jacobsen Pediatric Dentistry is tied to Riverton, Utah in the data we show; additional addresses may exist on the full record.
Is the information about Jacobsen Pediatric Dentistry up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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