Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Jacob Dental Group Inc

Organization Dentist · NPI 1417300930

The Jacob Dental Group Inc provides Dentist services in Palm Coast, Florida. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17 Old Kings Rd N Ste H
Palm Coast, FL 32137-8282 Not confirmed with CMS for 10 years — call before visiting
Phone: (386) 445-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1417300930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Jacob — Owner · (386) 445-6111
NPI enumeratedJuly 20, 2016
Last updated in NPPESJuly 20, 2016
Mailing address17 Old Kings Rd N, Suite H, Palm Coast, FL 32137-8282

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