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

Austin Joly Jacob, DMD

Individual provider Dentist · NPI 1790495760

Austin Joly Jacob, DMD is a Dentist in Riverside, New Jersey. Practices as a sole proprietor. Licensed in New Jersey and Pennsylvania.

Licensed in
NJ, PA
In the registry since
2022
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

123 S Pavilion Ave
Riverside, NJ 08075-3611
Phone: (856) 393-8510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS043994 (PA)
Dentist Taxonomy 122300000X · Licence 22DI02940800 (NJ)

Record details

NPI number1790495760
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedDecember 1, 2022
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025