MEDICARE: DR. JABRENTA HUBBARD REESE DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics	14206	NC

General Provider Information

NPI Number	:	1720534555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JABRENTA HUBBARD REESE DMD

Provider Business Mailing Address
First Line	:	700 MCHUGH BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540
Country	:	US
Telephone Number	:	910-451-1658
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 MCHUGH BLVD
Second Line	:	2D DENTAL BATTALION, CAMP LEJEUNE
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540
Country	:	US
Telephone Number	:	910-451-1658
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2016
Last Update Date	:	03/13/2026

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