Nathan Richard Reisch, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN123681 Issued in GA

Practice address

212 E Broad St
Winder, GA 30680-2202

Phone

(770) 867-3275

NPI assigned

Feb 6, 2024

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark P. Benner, D.D.S., P.C.

  dba Benner & Townsend Dentistry

  • Dental Clinic/Center
  • Winder, GA
  • NPI 1497527527
  NPD

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1891559399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 RIDGE DR",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431139077",
            "telephone_number": "740-497-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802202",
            "telephone_number": "770-867-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISCH",
        "first_name": "NATHAN",
        "middle_name": "RICHARD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-06",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eddie Ramirez-Morales
• Joy Ramirez
• Reach for the Moon Inc
• Stacy Reed, LMT
• Kabita Regmee, MD
• Reliance Medical Transport LLC
• Resource Anesthesia Barrow Inc.
• Rhett K. Rainey, D. O. (Cornerstone Sports Medicine and Orthopaedics)
• Jasmine Richard
• Aubrey Hinson Roberds, FNP-C

• General Practice Dentistry in Winder, GA
• Providers in Winder, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.