Individual provider · Type 1 NPI

Jacob Wiley-Blue Holtzclaw, DMD

General Practice Dentistry · Albany, GA

NPI number 1275150658 Active

Practice location

1725 Dawson Rd
Albany, GA 31707-3362

Mailing address

315 Philema Rd Apt 15
Albany, GA 31701-1245

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN016080 (GA)

General Practice Dentistry: 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.

4 other providers at this address

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About NPI 1275150658

Jacob Wiley-Blue Holtzclaw, DMD's National Provider Identifier is 1275150658, issued on Jul 1, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Albany, GA. The record was last updated on Jul 1, 2020.