Dwight Sterling Danburg Jr., D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

2096 Issued in LA

Practice address

Gulf C.I. Main
500 Ike Steele Road
Wewahitchka, FL 32465

Phone

(850) 639-7462

NPI assigned

Nov 17, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1992308530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GULF C.I. MAIN",
            "address_2": "500 IKE STEELE ROAD",
            "city": "WEWAHITCHKA",
            "state": "FL",
            "postal_code": "32465",
            "telephone_number": "850-639-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GULF C.I. MAIN",
            "address_2": "500 IKE STEELE ROAD",
            "city": "WEWAHITCHKA",
            "state": "FL",
            "postal_code": "32465",
            "telephone_number": "850-639-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANBURG",
        "first_name": "DWIGHT",
        "middle_name": "STERLING",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DTC144",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "2096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Wewahitchka, FL
• Providers in Wewahitchka, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.