Jonathan Breazeale, DMD
Individual provider Active NPI General Practice Dentistry · Liberty, NC
NPI 1649015751 · NPPES record last updated Jul 15, 2026
Key facts
- NPI
- 1649015751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 14823 (NC)
- Practice address
- 524 N Greensboro St
Liberty, NC 27298-2601 - Phone
- (336) 622-2951
- NPI assigned
- Jun 28, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greg Moses DDS, PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14823 | NC | Yes |
Addresses
Primary practice location
524 N Greensboro St
Liberty, NC 27298-2601
Mailing address
524 N Greensboro St
Liberty, NC 27298-2601
Phone (336) 622-2951
Other providers in Liberty, NC
- Advanced Progress Consultants LLC
- Dabney Allen
- American Healthcare Systems, LLC
- Caroline E Baugess
- Thomas Leon Blake
- Brittany Sundblom
- Ellen Kaye Brown
- Thomas Edgar Butler Jr.
- Caregivers of Liberty I
- Caregivers of Liberty II
All providers in Liberty, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.