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JACOB BASS
NPI 1780429605
Dentist - General Practice in Augusta, GA

Active since July 01, 2024
1 FREEDOM WAY, AUGUSTA, GA 30904(803) 341-2626 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Bass NPPES

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

JACOB BASS (NPI 1780429605) is an individual general practice provider in Augusta, Georgia, licensed in South Carolina (10776) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1780429605
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACOB BASS
Location Address1 FREEDOM WAYAugusta, GA 30904-6258
Mailing Address912 Dunbarton DrNorth Augusta, SC 29841-3209
Phone(803) 341-2626
Sole ProprietorYes
Enumeration DateJuly 1, 2024
NPPES CertifiedJuly 1, 2024
✔ NPI 1780429605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 10776
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.
1 FREEDOM WAY, Augusta, GA 30904
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Other Providers at the Same Location NPPES 20

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

MRS. JOANN MCNAIR RPH
Pharmacist
1 FREEDOM WAY
AUGUSTA, GA 30904
Richmond County (706) 733-0188
MS. LISA MIXON JONES R.N.
Registered Nurse
1 FREEDOM WAY, # 31
AUGUSTA, GA 30904
Richmond County (706) 733-0188
MRS. DEBRA SERENDA JONES LMSW
Social Worker
1 FREEDOM WAY, UPTOWN DIVISION/CHARLIE NORWWOOD VA
AUGUSTA, GA 30904
Richmond County (706) 733-0188
DR. SONYA YVETTE MEDINA PH.D.
Psychologist (Clinical)
1 FREEDOM WAY
AUGUSTA, GA 30904
Richmond County (706) 733-0188
DR. PANKAJKUMAR NARAYANBHAI THAKKAR M.D.
Physical Medicine & Rehabilitation
1 FREEDOM WAY
AUGUSTA, GA 30904
Richmond County (706) 733-0188
DR. EDWARD KURT LEAHY
Anesthesiology
1 FREEDOM WAY
AUGUSTA, GA 30904
Richmond County (706) 733-0188
AMANDA PETRO MSR, OTR/L
Occupational Therapist
1 FREEDOM WAY
AUGUSTA, GA 30904
Richmond County (706) 733-0188
AMIE ELIZABETH SQUIRES MD
Ophthalmology
1 FREEDOM WAY
AUGUSTA, GA 30904
Richmond County (706) 733-0188

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 Bass's NPI number?

The NPI number for Jacob Bass is 1780429605. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Jacob Bass located?

Jacob Bass practices at 1 Freedom Way, Augusta, GA 30904. The listed phone number is (803) 341-2626.

What is Jacob Bass'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 Bass was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.