Individual
DR. JACOB DEAN ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6264 S FM 14, HAWKINS, TX 75765-4844
(903) 769-1606
Mailing address
6264 S FM 14, HAWKINS, TX 75765-4844
(903) 769-1606
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38676
TX
122300000X
Dentist
5971582
ID
1223G0001X
General Practice Dentistry
00000
NV
Other
Enumeration date
03/23/2021
Last updated
01/06/2026
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