Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013890631 Individual Practitioner Male Practitioner

Dr. Jacob Goldberg , DMD

Dentist - General Practice • Douglas, GA

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Goldberg, DMD is a registered healthcare professional specializing in Dentist - General Practice in Douglas, GA. Practice services are available at 908 MADISON AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

908 Madison Ave N

Douglas, GA 315333126

Telephone 9123844902

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Douglas, GA

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

Practicing in Douglas, 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: 2025-07-30
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN123790

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

2 Associated Practitioners
Dr. Matthew Smith , DMD

Dentist - General Practice

NPI 1013354950

Doctor of Dental Medicine

NPI 1457331027

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 30, 2025

NPI status registered as active in NPPES database

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Updated Practice Location July 30, 2025

Registered at 908 MADISON AVE N, DOUGLAS, GA 315333126 (Tel: 9123844902)

📍
Updated Business Mailing Address July 30, 2025

Registered at 908 MADISON AVE N, DOUGLAS, GA 315333126

👤
Provider Name / Credentials Updated July 30, 2025

Recorded as JACOB GOLDBERG, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2025

Dentist (License #DN123790 in GA)

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Initial NPI Registration & Enumeration July 30, 2025

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: 1013890631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2025
Last Update: July 30, 2025
Sole Proprietor: No

Mailing Address

908 Madison Ave N

Douglas, GA 315333126

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.