Austin Joly Jacob, DMD
Dentist · Riverside, NJ
Practice location
123 S Pavilion AveRiverside, NJ 08075-3611
- Phone
- (856) 393-8510
NPI record
- NPI
- 1790495760
- Entity type
- Individual (Type 1)
- Enumeration date
- December 1, 2022
- Last updated
- February 18, 2025
- Certified
- February 18, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
About Dr. Jacob
Austin Joly Jacob, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 123 S Pavilion Ave, Riverside, NJ 08075-3611. The NPI number 1790495760 was assigned on December 1, 2022 and the record was last updated on February 18, 2025.
Dr. Jacob lists 2 licenses in the registry: #DS043994 (PA) for Dentist; #22DI02940800 (NJ) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Austin Joly Jacob, DMD?
The NPI number is 1790495760.
What is the phone number of Dr. Jacob?
The phone number listed for the practice location is (856) 393-8510.
Where is Dr. Jacob located?
123 S Pavilion Ave, Riverside, NJ 08075-3611.
What is the taxonomy code for Dr. Jacob?
The primary taxonomy code is 122300000X – Dentist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.