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Jacob Wiley-blue Holtzclaw, DMD
General Practice Dentistry in Albany, Georgia
NPI 1275150658

Jacob Wiley-blue Holtzclaw is a General Practice Dentistry based in Albany, GA and is specialized in General Practice. Jacob Wiley-blue Holtzclaw practices in Albany, GA and has the professional credentials of DMD. The NPI Number for Jacob Wiley-blue Holtzclaw is 1275150658 and holds a License No. DN016080 (Georgia).

The current practice location address for Jacob Wiley-blue Holtzclaw is 1725 Dawson Rd, Albany, GA and can be reached out via phone at 229-883-7891.

Location: 1725 Dawson Rd, Albany, GA, 31701-1245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275150658
Provider Name
Jacob Wiley-blue Holtzclaw
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1725 Dawson Rd, Albany, GA, 31701-1245
Phone Number
229-883-7891
Fax Number
Provider Enumeration Date
07/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1725 Dawson Rd
City
Albany
State
Georgia
Zip
31707-3362
Phone Number
229-883-7891
Fax Number
person
Provider Business Mailing Address Details
Address
1725 Dawson Rd
City
Albany
State
Georgia
Zip
31707-3362
Phone Number
229-883-7891
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN016080 (Georgia)
Definition
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.
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