Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mack Jacob, DDS

Individual provider Dentist · NPI 1194845784

Dr. Mack Jacob, DDS is a Dentist in Berkeley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2012 Prince St
Berkeley, CA 94703-2519
Phone: (510) 843-8568
Fax: (510) 843-4448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 38432 (CA)

Record details

NPI number1194845784
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 29, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2012 Prince St, Berkeley, CA 94703-2519

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