Healthcare Provider Details

I. General information

NPI: 1316295231
Provider Name (Legal Business Name): JOSEPH JAMES BREIG D.M.D. ENDODONTIST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2012
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13146 US HIGHWAY 301 S
RIVERVIEW FL
33578-7410
US

IV. Provider business mailing address

18944 N DALE MABRY HWY STE 101
LUTZ FL
33548-4912
US

V. Phone/Fax

Practice location:
  • Phone: 915-742-5935
  • Fax: 915-742-5174
Mailing address:
  • Phone: 813-522-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDN20068
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS039292
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number28414
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: