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JACOB WILEY-BLUE HOLTZCLAW DMD
NPI 1275150658
Dentist - General Practice in Albany, GA

Active since July 01, 2020
1725 DAWSON RD, ALBANY, GA 31707(229) 883-7891 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Wiley-blue Holtzclaw Dmd NPPES

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

JACOB WILEY-BLUE HOLTZCLAW DMD (NPI 1275150658) is an individual general practice provider in Albany, Georgia, licensed in Georgia (DN016080) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1275150658
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACOB WILEY-BLUE HOLTZCLAWCredential: DMD
Location Address1725 DAWSON RDAlbany, GA 31707-3362
Mailing Address315 Philema Rd Apt 15Albany, GA 31701-1245 · (770) 815-0655
Phone(229) 883-7891
Sole ProprietorNo
Enumeration DateJuly 1, 2020
NPPES CertifiedJuly 1, 2020
✔ NPI 1275150658 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 · DN016080
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.
1725 DAWSON RD, Albany, GA 31707
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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 4

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

DR. RICHARD RANDALL MCNEELY DMD
Dentist (General Practice)
1725 DAWSON RD
ALBANY, GA 31707
Dougherty County (229) 883-7891
SHALISA HARSWELL DMD
Dentist
1725 DAWSON RD
ALBANY, GA 31707
Dougherty County (229) 883-7891
DR. DAKOTA JORDAN TYRUS THARPE DMD
Dentist
1725 DAWSON RD
ALBANY, GA 31707
Dougherty County (229) 883-7891
DYLAN HOLLOWAY DMD
Dentist (General Practice)
1725 DAWSON RD
ALBANY, GA 31707
Dougherty County (229) 883-7891

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 Holtzclaw's NPI number?

The NPI number for Jacob Holtzclaw is 1275150658. It was assigned to this individual provider in the NPPES registry on July 1, 2020.

Where is Jacob Holtzclaw located?

Jacob Holtzclaw practices at 1725 Dawson Rd, Albany, GA 31707. The listed phone number is (229) 883-7891.

What is Jacob Holtzclaw's specialty?

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

What insurance does Jacob Holtzclaw 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, Humana and Renaissance Dental list Jacob Holtzclaw 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 Jacob Holtzclaw was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.