National Provider Identifier Database

JACK M NEAGLE JR DDS PC
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.


Contact Information

JACK M. NEAGLE JR., DDS, PC
1805 W WHITE OAK TER
SUITE C
CONROE, TX77304-3590
Phone: 936-539-2980
Fax: 936-539-2969
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for JACK M. NEAGLE JR., DDS, PC

NPI Number 1710126768
Legal business name
LBN
JACK M. NEAGLE JR., DDS, PC
Authorized official JACK NEAGLE - (REGISTERED AGENT)
Entity Organization
Organization subpart No
Enumeration date 02/16/2009
Last updated 04/21/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 22205

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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