JPM DENTAL CONROE (NPI# 1255930798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255930798 |
| Entity Type | Organization |
| Organization Name | JPM DENTAL CONROE |
| Practice Address |
2104 N Frazier St Ste 140 Conroe TX 77301-1250 |
| Mailing Address |
17723 Luminaire Ln Richmond TX 77407-7932 |
| Practice Telephone | 9367565080 |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | DR. PRANAV MODY (OWNER) |
| Authorized Official Telephone | 7133853019 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
2104 N FRAZIER ST STE 140 |
| City | CONROE |
| State | TX |
| Zip Code | 77301-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669116 | Lois Talford | Technician | 907 Bellshire Dr. Apt 101, Conroe, TX 77301 | 2019-09-20 |
| 1033694187 | Rgt Dental Care | Dentist | 402 Simonton St. Suite 100, Conroe, TX 77301 | 2018-09-25 |
| 1942782396 | Traci Hines | Counselor | 1427 Apple Orchard Trail, Conroe, TX 77301 | 2018-09-02 |
| 1124507314 | Katie Marie Sandoval | Licensed Vocational Nurse | 602 W Semans St, Conroe, TX 77301 | 2018-08-09 |
| 1811475841 | Ihuoma Chinagorom Enyidede | Licensed Vocational Nurse | 602 W Semands Street, Conroe, TX 77301 | 2018-08-01 |
| 1336626779 | Nancy Mbongeh Ndamukong | Registered Nurse | 202 West Semands Street, Conroe, TX 77301 | 2018-07-27 |
| 1780172585 | Ingeborg Christina Meek | Registered Nurse | 6020 W. Semands Street, Conroe, TX 77301 | 2018-04-26 |
| 1902342926 | Gloria E Kessler | Counselor | 1101 N Thompson St, Conroe, TX 77301 | 2017-01-14 |
| 1770945412 | Standing Oak Homehealthcare LLC | Hospice Care, Community Based | 926 Fife, Conroe, TX 77301 | 2016-03-22 |
| 1316327117 | Ayaba Guiste | Dentist | 1154, 1002 N Loop 336 W, Conroe, TX 77301 | 2015-06-05 |
| Find all providers in zip 77301 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801441753 | Houston Mint Dentistry, Pllc | Dentist | 3846 W Davis St Ste 300, Conroe, TX 77304-1975 | 2019-08-07 |
| 1285106716 | Dentaspa Pllc | Dentist | 2960 Interstate 45 N Ste 300, Conroe, TX 77303-7912 | 2018-12-21 |
| 1033694187 | Rgt Dental Care | Dentist | 402 Simonton St. Suite 100, Conroe, TX 77301 | 2018-09-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1831647064 | Family Smiles Dental of Conroe PC | Dentist | 100 Medical Center Blvd Ste 109, Conroe, TX 77304-2821 | 2016-09-16 |
| 1649645268 | 1488 Dental Clinics Inc | Dentist | 469 Fm 1488 Rd, Ste 103, Conroe, TX 77384-4188 | 2015-12-08 |
| 1316327117 | Ayaba Guiste | Dentist | 1154, 1002 N Loop 336 W, Conroe, TX 77301 | 2015-06-05 |
| 1841604147 | Brad Vermuelen | Dentist | 1403 N Loop 336 W Ste C, Conroe, TX 77304-3672 | 2014-06-13 |
| 1689098303 | Conroe Family Dentistry Pllc | Dentist | 1517 Wilson Rd, Conroe, TX 77304-2179 | 2014-02-17 |
| 1083969109 | Shivani Tapan Patel | Dentist | 600 S Conroe Medical Drive, Ste 104, Conroe, TX 77304 | 2012-07-14 |
| Find all providers in CONROE | ||||
Please comment or provide details below to improve the information on JPM DENTAL CONROE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.