Jacob Michael Crist, DMD Valid NPI

Individual provider · General Practice Dentistry · Columbus, GA

NPI

1891539326

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

DN123963 (GA)

Sex

Male

Sole proprietor

Yes

Enumerated

2024-06-20

Last updated

2025-10-13