Individual
DR. SPENCER JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
575 S 200 E, HEBER CITY, UT 84032-5666
(435) 315-3080
Mailing address
4537 S MOSSY SPRINGS LN, MILLCREEK, UT 84117-6999
(435) 851-4197
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7019303-9925
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2023
Last updated
10/21/2025
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