Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841090479 Individual Practitioner Male Practitioner

Jacob I Diaz-Castaneda

Dentist - General Practice • Macon, GA

Professional Overview & Biography Verified Profile Summary

Jacob Diaz-Castaneda is a registered healthcare professional specializing in Dentist - General Practice in Macon, GA. Practice services are available at 1386 GRAY HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1386 Gray Hwy

Macon, GA 312111952

Telephone 4789921500
Associated Practice Facility / Clinic
🏢 Candler Road Dental, Pc Facility NPI 1366539892

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Macon, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 45.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
65 Specialists

Practicing in Macon, 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: 2026-04-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN123923

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License VA 0401419527

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. Alicia Guy , DDS

Dentist - General Practice

NPI 1346071578

Doctor of Dental Surgery

Dr. Robert Spaulding , DDS

Dentist - General Practice

NPI 1699345298

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 21, 2026

Registered at 1386 GRAY HWY, MACON, GA 312111952 (Tel: 4789921500)

📍
Updated Business Mailing Address April 21, 2026

Registered at 4358 RIVERSIDE DR APT 1301, MACON, GA 312101783 (Tel: 8507371271)

NPI Profile Active March 13, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2025

Registered at 2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 482082576 (Tel: 3134946700)

📍
Updated Business Mailing Address March 13, 2025

Registered at 1 LAFAYETTE PLAISANCE ST APT 1008, DETROIT, MI 482072836 (Tel: 8507371271)

👤
Provider Name / Credentials Updated March 13, 2025

Recorded as JACOB DIAZ-CASTANEDA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 13, 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: 1841090479
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2025
Last Update: April 21, 2026
Sole Proprietor: No

Mailing Address

4358 Riverside Dr Apt 1301

Macon, GA 312101783

Phone: 8507371271

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.