P Praxis·MD
● Active Type 1 · Individual

Jacob I Diaz-Castaneda

Dentist·MacOn, GA· NPI 1841090479 · Enumerated 2025 · 1 years on NPI
Diaz-Castaneda is 1 of 77 dentist providers in MacOn and 1 of 4309 in Georgia.
NPI age
1 years
Enumerated 2025-03-13
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
GA, VA
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-21
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
1 years
↓ 17 yr below median (18 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2025 → 2026

2025-03Enumerated in NPPES
2025 2026

Where they practice

Practice location
1386 Gray Hwy
MacOn, GA 312111952
📞 4789921500
Mailing address
4358 Riverside Dr Apt 1301
MacOn, GA 312101783
📞 8507371271

Specialties

  • Dentist Primary
    A 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.
    GA license #DN123923VA license #0401419527 taxonomy 1223G0001X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new dentist provider has been added in MacOn in the last 180 days. See all →
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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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