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Active NPI 1275150658 Individual Practitioner Male Practitioner

Dr. Jacob Wiley-Blue Holtzclaw , DMD

Dentist - General Practice • Albany, GA

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Holtzclaw, DMD is a registered healthcare professional specializing in Dentist - General Practice in Albany, GA. Practice services are available at 1725 DAWSON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1725 Dawson Rd

Albany, GA 317073362

Telephone 2298837891

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Albany, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
35 Specialists

Practicing in Albany, GA (3302 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

CMS Verified: 2020-07-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN016080

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Richard Mcneely , DMD

Dentist - General Practice

NPI 1053971028

Doctor of Dental Medicine

NPI 1104518877

Doctor of Dental Medicine

Dr. Robert Parrish , DDS

Dentist - General Practice

NPI 1295805489

Doctor of Dental Surgery

NPI 1417687054

Doctor of Dental Medicine

Dr. Dylan Holloway , DMD

Dentist - General Practice

NPI 1639857659

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 01, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2020

Registered at 1725 DAWSON RD, ALBANY, GA 317073362 (Tel: 2298837891)

📍
Updated Business Mailing Address July 01, 2020

Registered at 315 PHILEMA RD APT 15, ALBANY, GA 317011245 (Tel: 7708150655)

👤
Provider Name / Credentials Updated July 01, 2020

Recorded as JACOB HOLTZCLAW, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2020

Dentist (License #DN016080 in GA)

🟢
Initial NPI Registration & Enumeration July 01, 2020

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: 1275150658
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2020
Last Update: July 01, 2020
Sole Proprietor: No

Mailing Address

315 Philema Rd Apt 15

Albany, GA 317011245

Phone: 7708150655

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.