Austin J Jacob, DMD
Dentist in Riverside, New Jersey
1790495760- Practice location
- 123 S Pavilion Ave, Riverside, NJ 08075-3611
- Phone
- 856-393-8510
- Fax
- —
- Last updated
- February 18, 2025
Austin Joly Jacob is a Dentist based in Riverside, NJ. Austin Joly Jacob practices in Riverside, NJ and has the professional credentials of DMD. The NPI Number for Austin Joly Jacob is 1790495760 and holds a License No. 22DI02940800 (NJ). The current practice location address for Austin Joly Jacob is 123 S Pavilion Ave, Riverside, NJ 08075-3611 and can be reached out via phone at 856-393-8510.
Provider Profile Details
- NPI Number
- 1790495760
- Provider Name
- Austin Joly Jacob
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 123 S Pavilion Ave, Riverside, NJ 08075-3611
- Phone Number
- 856-393-8510
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 1, 2022
- Last Update Date
- February 18, 2025
- Certification Date
- February 18, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 123 S Pavilion Ave
Riverside, NJ 08075-3611 - City
- Riverside
- State
- New Jersey
- Zip
- 08075-3611
- Phone Number
- 856-393-8510
Provider Business Mailing Address Details
- Address
- 123 S Pavilion Ave
Riverside, NJ 08075-3611 - City
- Riverside
- State
- NJ
- Zip
- 08075-3611
- Phone Number
- 856-393-8510
License Information
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Austin J Jacob, DMD?
The NPI number of Austin J Jacob, DMD is 1790495760. It was assigned on December 1, 2022 and is currently active in the NPPES registry.
What is the specialty of Austin J Jacob, DMD?
Austin J Jacob, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02940800.
Where does Austin J Jacob, DMD practice?
The practice location is 123 S Pavilion Ave, Riverside, NJ 08075-3611. The office can be reached at 856-393-8510 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790495760 directly on the NPPES registry website.