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CONROE FAMILY DENTISTRY PLLC NPI 1689098303


NPI Information

NPI: 1689098303
Provider Name: CONROE FAMILY DENTISTRY PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1362 WILSON RD
CONROE, TX
ZIP 77304
Phone: (936) 539-2211
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CONROE FAMILY DENTISTRY PLLC is a general practice dentist in Conroe, TX. The provider is 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. CONROE FAMILY DENTISTRY PLLC NPI is 1689098303. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1362 WILSON RD
CONROE, TX
ZIP 77304-146
Phone: (936) 539-2211
Fax: (936) 539-2216

The provider's authorized official is Logan Wood .
The authorized official title is Member and has the following contact phone number (936) 539-2211.

The enumeration date for this NPI number is 2/17/2014 and was last updated on 10/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice23937TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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