NPIMap

Organization Active NPI

Daniel Family Dentistry LLC

  • General Practice Dentistry
  • Brunswick, GA
National Provider Identifier
1558022087
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DANIEL FAMILY DENTISTRY LLC
Practice address
11 Professional Dr
Brunswick, GA 31520-3773
Phone
(912) 261-2999
Fax
(912) 261-8368
NPI assigned
Jan 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Darryl D Daniel, DMDNPI 1538374822
Title
Owner
Phone
(912) 261-2999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

11 Professional Dr
Brunswick, GA 31520-3773

Mailing address

11 Professional Dr
Brunswick, GA 31520-3773
Phone (912) 261-2999

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1558022087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PROFESSIONAL DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203773",
            "telephone_number": "912-261-2999",
            "fax_number": "912-261-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PROFESSIONAL DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203773",
            "telephone_number": "912-261-2999",
            "fax_number": "912-261-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-261-2999",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "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 Jan 6, 2022; 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.