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JACOB GOLDBERG DMD
NPI 1013890631
Dentist - General Practice in Douglas, GA

Active since July 30, 2025
908 MADISON AVE N, DOUGLAS, GA 31533(912) 384-4902 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Goldberg Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB GOLDBERG DMD (NPI 1013890631) is an individual general practice provider in Douglas, Georgia, licensed in Georgia (DN123790) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1013890631
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACOB GOLDBERGCredential: DMD
Location Address908 MADISON AVE NDouglas, GA 31533-3126
Mailing Address908 Madison Ave NDouglas, GA 31533-3126
Phone(912) 384-4902
Sole ProprietorNo
Enumeration DateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1013890631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN123790
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.
908 MADISON AVE N, Douglas, GA 31533
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW OLIVER SMITH D.M.D.
Dentist (General Practice)
908 MADISON AVE N
DOUGLAS, GA 31533
Coffee County (912) 384-4902
DR. DAVID ALLEN VICKERS DMD
Dentist
908 MADISON AVE N
DOUGLAS, GA 31533
Coffee County (912) 384-4902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Goldberg's NPI number?

The NPI number for Jacob Goldberg is 1013890631. It was assigned to this individual provider in the NPPES registry on July 30, 2025.

Where is Jacob Goldberg located?

Jacob Goldberg practices at 908 Madison Ave N, Douglas, GA 31533. The listed phone number is (912) 384-4902.

What is Jacob Goldberg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jacob Goldberg was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.