Ian Joseph Daulton, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DRPM2509 Issued in FL

Practice address

100 Brewster Blvd
Camp Lejeune, NC 28547-2575

Phone

(910) 451-2208

NPI assigned

Jun 2, 2013

Last updated

Jan 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jacob a Rendon, D.D.S., P.C.

  dba Matthews Dental Group

  • Dental Clinic/Center
  • College Station, TX
  • NPI 1316736879
  NPD (past)
• Matthews Dental Group, PA

  • General Practice Dentistry
  • College Station, TX
  • NPI 1922245695
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1144667080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472575",
            "telephone_number": "910-451-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472575",
            "telephone_number": "910-451-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAULTON",
        "first_name": "IAN",
        "middle_name": "JOSEPH",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-02",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DRPM2509",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Dang
• John C Daniels Jr., CRNA
• Christopher Dare, SARIDC
• Tiana Ariel Daubach, CRNA
• Justin Thomas Daughtry, D.O.
• Andrew Jeremiah Davidson, STUDENT
• Blake Thomas Davis, M.D.
• Brett Cory Davis, IDC
• Cassandra Davis
• Jessica Antoinette Davis, REGISTERED NURSE

• Dentist in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.