Freeport Dental Group PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FREEPORT DENTAL GROUP PLLC

Doing business as

Freeport Family Dental

Practice address

313 S Brazosport Blvd
Freeport, TX 77541-4506

Phone

(979) 233-6000

NPI assigned

Feb 18, 2019

Organization subpart

No

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

Authorized official

Name

Daniel Giv, DDS

Title

Owner

Phone

(832) 605-0349

Specialties & licenses 1

Addresses

Other names 1

• Freeport Family Dental Doing business as

Locations

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1699231365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S BRAZOSPORT BLVD",
            "city": "FREEPORT",
            "state": "TX",
            "postal_code": "775414506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S BRAZOSPORT BLVD",
            "city": "FREEPORT",
            "state": "TX",
            "postal_code": "775414506",
            "telephone_number": "979-233-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEPORT DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "GIV",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-605-0349",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freeport Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Daniels, PMHNP-BC
• Isaac Dike
• Emily Espinoza, MAT, ATC
• Farah Talib PLLC (Freeport Family Dentistry)
• Freeport Comprehensive Dentistry PLLC
• Freeport Dialysis LLC
• Freeport Family Dentistry
• Freeport Medical Clinic, PLLC
• Talia Fulsom, LVN
• Carmen Garcia-Garza, MSN, RN, FNP-C

• Dental Clinic/Center in Freeport, TX
• Providers in Freeport, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.