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MACK JACOB, DDS
NPI 1730615329
Dentist in Berkeley, CA

Active since May 03, 2017
2012 PRINCE ST, BERKELEY, CA 94703(510) 843-8568(510) 843-4448 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mack Jacob, Dds NPPES

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

MACK JACOB, DDS (NPI 1730615329) is a healthcare organization registered as a dentist in Berkeley, California and active in the NPI registry since May 2017. The organization lists Marilyn Rodriquez, Manager, as its authorized official.

NPPES Registry Identity

NPI1730615329
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMACK JACOB, 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
Organization SubpartNo
Authorized OfficialMarilyn RodriquezManager · (510) 843-8568
Enumeration DateMay 3, 2017
✔ NPI 1730615329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. 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, Dds's NPI number?

The NPI number for Mack Jacob, Dds is 1730615329. It was assigned to this organization in the NPPES registry on May 3, 2017.

Where is Mack Jacob, Dds located?

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

What is Mack Jacob, Dds's specialty?

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

When was this NPI record last updated?

The NPPES record for Mack Jacob, Dds was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.