NPI age
5 years
Enumerated 2020-07-01
● Active
Type 1 · Individual
Jacob Wiley-Blue Holtzclaw, DMD
Holtzclaw is 1 of 42 dentist providers in Albany and 1 of 4309 in Georgia.
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-07-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4309 active dentist providers in Georgia.
NPI age
5 years
↓ 13 yr below median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-07Enumerated in NPPES
2020
2026
Where they practice
Practice location
1725 Dawson Rd
Albany, GA 317073362
Mailing address
315 Philema Rd Apt 15
Albany, GA 317011245
Specialties
-
Dentist PrimaryA 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.
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new dentist provider has been added in Albany in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.