Individual
JACOB MICHAEL CRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6501 VETERANS PKWY BLDG 4A, COLUMBUS, GA 31909-7207
(762) 261-1097
Mailing address
4465 VIGNY ST UNIT 1029, NORTH LAS VEGAS, NV 89031-4466
(702) 875-5799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13944804-9926
UT
1223G0001X
General Practice Dentistry
Primary
DN123963
GA
Other
Enumeration date
06/20/2024
Last updated
10/13/2025
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