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
Mailing address123 S Pavilion Ave, Riverside, NJ 08075-3611