Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB WILEY-BLUE HOLTZCLAW, DMD

Active

JACOB WILEY-BLUE HOLTZCLAW, DMD is a General Dentistry healthcare provider located in ALBANY, Georgia. NPI 1275150658 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · ALBANY, GA

Registration Details

NPI Number: 1275150658
Provider Type: Individual
Gender: Male
NPI Issued: Jul 1, 2020 (6.1342139430966 yrs)
Last Updated: Jul 1, 2020
License: DN016080 (GA)

Practice Information

Address: 1725 DAWSON RD

ALBANY, GA, 317073362
Browse GA providers · Browse ZIP 31707
Phone: 2298837891
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in ALBANY, GA

Name	Credential	NPI
DR. CLEVELAND MANN	D.M.D.	1992765911
DR. MIGUEL R HERNANDEZ	DDS	1710099817
DR. LARRY WILLIS MILES JR.	DMD	1215033667
DR. ROBERT TAYLOR III	D.M.D.	1053406744
DR. CHARLES CLINTON KING JR.	DMD	1194894105
DR. CHARLES CLINTON KING SR.	DMD	1295804037

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.