P Praxis·MD
● Active Type 1 · Individual

Sherida Dawn Jacobs, DMD

Dentist·MacOn, GA· NPI 1770640997 · Enumerated 2007 · 19 years on NPI
Jacobs is 1 of 7 dentist providers in MacOn and 1 of 539 in Georgia.
NPI age
19 years
Enumerated 2007-01-03
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 539 active dentist providers in Georgia.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
4132 Arkwright Rd
MacOn, GA 312101707
📞 4784057797
Mailing address
4132 Arkwright Rd
MacOn, GA 312101707
📞 4784057797

Specialties

  • Dentist Primary
    An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
    GA license #DN011696 taxonomy 1223P0221X

Identifiers

TypeValueNotes
01 (GA) 39416 AVESIS VENDOR #
01 (GA) 168140 DORAL PAYEE #

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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