JACOB AARON FREEZE DMD NPI 1053949198

NPI Information

  • NPI: 1053949198
  • Provider Name: JACOB AARON FREEZE, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 3278 MITCHELL BLVD BLDG 900
    MOODY AFB, GA
    ZIP 31699
  • Phone: (229) 257-1459

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NPI Details

Jacob Aaron Freeze, DMD is a general practice dentist in Moody Afb, GA. The provider is 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. Jacob Aaron Freeze, DMD NPI is 1053949198. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3278 MITCHELL BLVD BLDG 900
MOODY AFB, GA
ZIP 31699-529
Phone: (229) 257-1459

The enumeration date for this NPI number is 4/1/2020 and was last updated on 4/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice61090426WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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