JACK M. NEAGLE JR., DDS, PC (NPI# 1710126768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710126768 |
| Entity Type | Organization |
| Organization Name | JACK M. NEAGLE JR., DDS, PC |
| Practice Address |
1805 W White Oak Ter Suite C Conroe TX 77304-3590 |
| Practice Telephone | 9365392980 |
| Practice Fax Number | 9365392969 |
| Mailing Telephone | 9365392980 |
| Mailing Fax Number | 9365392969 |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2009-04-21 |
| Authorized Official Name | DR. JACK NEAGLE (REGISTERED AGENT) |
| Authorized Official Telephone | 9365392980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
22205 | TX | Ambulatory Health Care Facilities |
| Street Address |
1805 W WHITE OAK TER SUITE C |
| City | CONROE |
| State | TX |
| Zip Code | 77304-3590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851595433 | Jack Monroe Neagle Jr. | Oral & Maxillofacial Surgery | 1805 W White Oak Ter, Suite C, Conroe, TX 77304-3590 | 2007-06-14 |
| 1992243901 | Carrick Dentistry, P.a. | Clinic/Center | 1805 W White Oak Ter, Ste. D, Conroe, TX 77304-3456 | 2017-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811491244 | Stephen Barker Dds Pllc | Clinic/Center | 9803 Highway 242 Ste 700, Conroe, TX 77385-4370 | 2018-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962028142 | Crownridge Dental | Clinic/Center | 6827 Camp Bullis Rd Ste 302, San Antonio, TX 78256-1730 | 2020-06-23 |
| 1144758954 | Telfair Oral and Maxillofacial Surgery Pllc | Clinic/Center | 13440 University Blvd Ste 250, Sugar Land, TX 77479-4798 | 2017-05-24 |
| 1255719100 | South Houston Oral,facial&implant Surgery Center | Clinic/Center | 2537 Houston Ave, Pearland, TX 77581-4231 | 2015-05-12 |
| 1578973483 | Mazen Duraini, Dds, Md, Pllc | Clinic/Center | 6753 Cabrillo, Irving, TX 75039-3223 | 2014-04-30 |
| 1912221029 | Sharon H Ornstein, Dds, Pa | Clinic/Center | 6351 N Preston Rd, Suite 200, Fisco, TX 75034 | 2010-03-18 |
| 1437397148 | Oral & Maxillofacial Surgery Affiliates, P.C. | Clinic/Center | 7030 Sanger Ave, Suite 100, Waco, TX 76712 | 2009-02-03 |
| 1912150111 | Waterford Dental Specialists, Pllc | Clinic/Center | 5246 S. 31st St., Temple, TX 76502 | 2008-10-31 |
| 1790778314 | Aesthetic Oral & Facial Surgical Center of The Southwest, PC | Clinic/Center | 1850 Keller Pkwy, Suite 102, Keller, TX 76248-3706 | 2005-08-30 |
| 1396344933 | Twtsa, LLC. | Clinic/Center | 6025 Harris Pkwy, Fort Worth, TX 76132-4103 | 2020-10-24 |
| 1063987626 | River City Oral and Maxillofacial Surgery, Pllc | Clinic/Center | 5418 N Loop 1604 E, Suite 101, San Antonio, TX 78023 | 2018-10-10 |
| Find all providers with the same taxonomy | ||||
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| 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.