Individual provider Active NPI

Andrea Grey Loeb

  • Dentist
  • Tallahassee, FL
National Provider Identifier
1700522497
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D.007211-C1 Issued in AL
Practice address
2880 Capital Medical Blvd Ste 3
Tallahassee, FL 32308-4672
Phone
(850) 878-3139
NPI assigned
May 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN28864 FL
Dentist 122300000X D.007211-C1 AL Primary

Addresses

Primary practice location

2880 Capital Medical Blvd Ste 3
Tallahassee, FL 32308-4672

Mailing address

5740 Carmichael Rd
Montgomery, AL 36117-2312
Phone (334) 277-9570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D.007211-C1ALMDDentist
DN28864FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
McLemore Dentistry, LLC CurrentSince Jul 1, 2023 Accepting new patients
Nak & McQuary Professional Corporation CurrentSince Oct 20, 2024 Accepting new patients
Thomas H. Williams III DMD, PC PastSince Jul 1, 2023 Accepting new patients

Locations

5740 Carmichael Rd
Montgomery, AL 36117
Phone (334) 277-9570

2880 Capital Medical Blvd
Ste 3
Tallahassee, FL 32308
Phone (850) 878-3139

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1700522497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 CARMICHAEL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361172312",
            "telephone_number": "334-277-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 CAPITAL MEDICAL BLVD STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084672",
            "telephone_number": "850-878-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEB",
        "first_name": "ANDREA",
        "middle_name": "GREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN28864",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D.007211-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.