Organization
PINNACLE PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC JACOBSON DMD (MEMBER)
(859) 420-9187
Entity
Organization
Contact information
Practice address
1006 ACE DR, BEREA, KY 40403-1327
(859) 286-6999
(859) 406-1333
Mailing address
272 DEERFIELD LN, LEXINGTON, KY 40511-8784
(859) 420-9187
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
02/27/2022
Last updated
05/20/2026
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