King of Prussia Dental Associates
NPI 1619079704ActiveOrganization· Dentist, General Practice· King Of Prussia, PA
Dentist, General Practice in King Of Prussia, Pennsylvania, registered in NPPES in September 2006. The authorized official on file is Brad G. Jacobson, DDS, Owner.
Overview
| NPI | 1619079704 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 1, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 06-0000001653 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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