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DR. MACK JACOB DDS
NPI 1194845784
Dentist in Berkeley, CA

Active since March 29, 2007
2012 PRINCE ST, BERKELEY, CA 94703(510) 843-8568(510) 843-4448 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mack Jacob Dds NPPES

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

DR. MACK JACOB DDS (NPI 1194845784) is an individual dentist in Berkeley, California, licensed in California (38432) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1194845784
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MACK JACOBCredential: DDS
Location Address2012 PRINCE STBerkeley, CA 94703-2519
Mailing Address2012 Prince StBerkeley, CA 94703-2519 · (510) 843-8568 · Fax (510) 843-4448
Phone(510) 843-8568
Fax(510) 843-4448
Sole ProprietorYes
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194845784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 38432
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2012 PRINCE ST, Berkeley, CA 94703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES

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

MACK JACOB, DDS
Dentist
2012 PRINCE ST
BERKELEY, CA 94703
Alameda County (510) 843-8568

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 Mack Jacob's NPI number?

The NPI number for Mack Jacob is 1194845784. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Mack Jacob located?

Mack Jacob practices at 2012 Prince St, Berkeley, CA 94703. The listed phone number is (510) 843-8568.

What is Mack Jacob's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Mack Jacob accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Mack Jacob as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mack Jacob was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.