Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679973879 Individual Practitioner Male Practitioner

Dr. Jacob A Deniakos , DDS

Dentist • Maxwell Afb, AL

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Deniakos, DDS is a registered healthcare professional specializing in Dentist in Maxwell Afb, AL. Practice services are available at 300 S. TWINING STREET, BLDG 760 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 S. Twining Street, Bldg 760
42d Medical Group

Maxwell Afb, AL 36112

Telephone 3349538607
Fax 3349538607

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Maxwell Afb, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
9 Specialists

Practicing in Maxwell Afb, AL (894 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License LA 6439

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kristell Michael , APN

Nurse Practitioner - Family

NPI 1003004144

Advanced Practice Nurse

NPI 1003191875

Doctor of Optometry

Dr. Ross Canup , MD

Family Medicine

NPI 1013367333

Doctor of Medicine (M.D.)

Francetta Childers , CRNP

Nurse Practitioner - Women's Health

NPI 1043499502

Certified Registered Nurse Practitioner

NPI 1083604110

Doctor of Medicine (M.D.)

Sara Bagorio , RDH

Dental Hygienist

NPI 1093530206

Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2015

Registered at 300 S. TWINING STREET, BLDG 760, 42D MEDICAL GROUP, MAXWELL AFB, AL 36112 (Tel: 3349538607)

📍
Updated Business Mailing Address August 27, 2015

Registered at 300 S. TWINING STREET, BLDG 760, 42D MEDICAL GROUP, MAXWELL AFB, AL 36112 (Tel: 3349535143)

👤
Provider Name / Credentials Updated August 27, 2015

Recorded as JACOB DENIAKOS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2015

Dentist (License #6439 in LA)

🟢
Initial NPI Registration & Enumeration August 26, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679973879
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2014
Last Update: August 27, 2015
Sole Proprietor: Yes

Mailing Address

300 S. Twining Street, Bldg 760, 42d Medical Group

Maxwell Afb, AL 36112

Phone: 3349535143

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.