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

Jacob I Diaz-Castaneda

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1841090479

Jacob I Diaz-Castaneda is a Student in an Organized Health Care Education/Training Program in Macon, Georgia. Licensed in Georgia and Virginia. Registered with an NPI since 2025.

Licensed in
GA, VA
In the registry since
2025
Specialties on file
3

Practice location Address checks out

1386 Gray Hwy
Macon, GA 31211-1952
Phone: (478) 992-1500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN123923 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
General Practice Dentistry Taxonomy 1223G0001X · Licence 0401419527 (VA)

Record details

NPI number1841090479
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 13, 2025
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

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