Justin Lowrey Dyre, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3634 Issued in MS

Practice address

1075 Lake Village Cir
Brandon, MS 39047-6743

Phone

(601) 992-1605

NPI assigned

Jun 14, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Armstrong & Dyre Dental, P.C.

  • General Practice Dentistry
  • Madison, MS
  • NPI 1437250156
  NPD (past)
• Erin Green DDS PC

  dba Grants Ferry Family Dentistry

  • Dentist
  • Brandon, MS
  • NPI 1609492750
  NPD (past)
• Grants Ferry Family Dentistry

  • Dental Clinic/Center
  • Brandon, MS
  • NPI 1265779052
  NPD (past)

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1588926570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 PEBBLE CREEK DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109191",
            "telephone_number": "601-856-3141",
            "fax_number": "601-856-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 LAKE VILLAGE CIR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476743",
            "telephone_number": "601-992-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYRE",
        "first_name": "JUSTIN",
        "middle_name": "LOWREY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drayer Physical Therapy Jackson LLC (Performance Rehab)
• Daphne Drummond, M.S., CCC-SLP
• Tina Dungan, M.S. CCC-SLP
• Ladonna Aycock Dunn, CFNP
• Kaitlyn Dye
• Brandi Michele Earls, RN
• Ebullience Counseling
• Loren Dean Eddy
• Eden Rehab LLC
• Education Therapy Services, Inc

• General Practice Dentistry in Brandon, MS
• Providers in Brandon, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.