NPIMap

Organization Active NPI

Howard Family Dental-Brunswick, LLC

  • General Practice Dentistry
  • Brunswick, GA
National Provider Identifier
1194843219
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HOWARD FAMILY DENTAL-BRUNSWICK, LLC
Practice address
159 Altama Connector
Brunswick, GA 31525-1853
Phone
(912) 264-8408
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Jeff Reibel
Title
Cfo
Phone
(502) 254-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X GA Primary

Addresses

Primary practice location

159 Altama Connector
Brunswick, GA 31525-1853

Mailing address

159 Altama Connector
Brunswick, GA 31525-1853
Phone (912) 264-8408

National Provider Directory

National Provider Directory

Locations

159 Altama Connector
Brunswick, GA 31525
Phone (912) 264-8408

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1194843219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 ALTAMA CONNECTOR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315251853",
            "telephone_number": "912-264-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 ALTAMA CONNECTOR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315251853",
            "telephone_number": "912-264-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD FAMILY DENTAL-BRUNSWICK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "REIBEL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-254-8500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.