KEZIA ANILA JACOB (NPI# 1497136550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497136550 |
| Entity Type | Individual |
| Full Name | KEZIA ANILA JACOB |
| Credential | D.M.D. |
| Practice Address |
159 Altama Connector Brunswick GA 31525 |
| Mailing Address |
159 Altama Connector Brunswick GA 31525-1853 |
| Practice Telephone | 9122648408 |
| Mailing Telephone | 5402392943 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2018-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 058964 | NY | Dental Providers |
| Street Address |
159 ALTAMA CONNECTOR |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679644363 | Ivan N Goldner | Dentist | 159 Altama Connector, Brunswick, GA 31525-1853 | 2006-11-13 |
| 1760912877 | Kevin Kimball Farr Jr. | Dentist | 159 Altama Connector, Brunswick, GA 31525-1853 | 2017-06-13 |
| 1447635842 | Kristopher Kyle Kasik | Dentist | 159 Altama Connector, Brunswick, GA 31525-1853 | 2015-07-27 |
| 1194843219 | Howard Family Dental-brunswick, LLC | Dentist | 159 Altama Connector, Brunswick, GA 31525-1853 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905990 | Jonathon Wesley Capps | Physician Assistant | 1111 Glynco Pkwy Bldg 1, Ste 10, Brunswick, GA 31525 | 2018-06-14 |
| 1366993628 | Hands Down Muscle Restoration, Inc | Homeopath | 1212 Chapel Crossing Road, Brunswick, GA 31525 | 2016-10-20 |
| 1619424173 | Jebediah S Christy Dds - Brunswick Pllc | Dentist | 11455 Canal Crossing, Brunswick, GA 31525 | 2016-09-01 |
| 1831545508 | Heller Family Medicine, LLC | General Practice | 208 Scranton Connector Ste 120, Brunswick, GA 31525 | 2016-05-11 |
| 1437525391 | Natisha Danielle Hill | Occupational Therapy Assistant | 138 Wingefield Commons Drive, Brunswick, GA 31525 | 2015-08-14 |
| 1811269632 | Solar Family Practice | Family Medicine | 122 Scranton Connector, Suite 112, Brunswick, GA 31525 | 2012-02-09 |
| 1700187895 | Chetan Patel | Pharmacist | 12 Woodfall Ct, Brunswick, GA 31525 | 2010-11-05 |
| 1194914275 | Dialysis of Golden Isles, LLC | Clinic/Center | 475 Gateway Center Blvd, Brunswick, GA 31525 | 2007-10-15 |
| 1902939325 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Frazier Street, Brunswick, GA 31525 | 2007-03-14 |
| 1609909498 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Frazier Road, Brunswick, GA 31525 | 2007-03-13 |
| Find all providers in zip 31525 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720601321 | Margaret Mary Ellen Palmer | Dentist | 80 Pleasant Street, Brunswick, ME 04011-2203 | 2020-05-19 |
| 1306331293 | Sanamkaiser, Inc | Dentist | 3864 Center Road, Brunswick, OH 44212 | 2018-06-25 |
| 1134668924 | Kroffke Dental Associates, LLC | Dentist | 3487 Center Rd Ste 8, Brunswick, OH 44212-3624 | 2017-02-14 |
| 1619424173 | Jebediah S Christy Dds - Brunswick Pllc | Dentist | 11455 Canal Crossing, Brunswick, GA 31525 | 2016-09-01 |
| 1194179036 | Cross Creek Family Dental | Dentist | 3915 Center Rd, Brunswick, OH 44212-3087 | 2016-04-18 |
| 1699187732 | Christi Lahey | Dentist | 1824 Pearl Rd, Brunswick, OH 44212-3252 | 2014-05-23 |
| 1609033299 | Paul Lawrence Bushi | Dentist | 3725 Center Road, Brunswick, OH 44212 | 2008-05-21 |
| 1417156092 | Peter C. Lebourdais | Dentist | 27 Baribeau Drive, Brunswick, ME 04011 | 2007-07-13 |
| 1942406541 | Benjamin Weiser | Dentist | 64 Souder Rd, Brunswick, MD 21716-1245 | 2007-06-21 |
| 1023230240 | Thomas Alan Hampton | Dentist | 4741 Altama Avenue, Brunswick, GA 31520 | 2007-05-03 |
| Find all providers in BRUNSWICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.