Jacob Cline, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN016068 Issued in GA

Practice address

2305 Lullwater Rd
Albany, GA 31707-3180

Phone

(229) 883-1306

NPI assigned

Jun 19, 2020

Last updated

Jun 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1184240723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 N WESTOVER BLVD APT 326",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071959",
            "telephone_number": "919-762-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 LULLWATER RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073180",
            "telephone_number": "229-883-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN016068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alshica Harper Clements
• Gina Barbee Clenney, PT
• Christopher Seth Cleveland
• Lisa Kim Cleveland, LPC,CAADC, NCC
• Joe Walter Clift, MFT
• Sarah Lynn Codrea, D.O.
• Mark D Cohen, M.D.
• Charles R Cole, NP
• Cherokee Cole, RN
• Amanda M Coleman, PA-C

• General Practice Dentistry in Albany, GA
• Providers in Albany, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.