Conroe Advanced Dentistry, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CONROE ADVANCED DENTISTRY, PLLC

Practice address

2040 N Loop 336 W Ste 207
Conroe, TX 77304-3580

Phone

(936) 759-2420

NPI assigned

Jun 22, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen Paul Vargo, DDSNPI 1750764858

Title

Member

Phone

(832) 242-4337

Specialties & licenses 1

Addresses

Other names 1

• Conroe Advanced Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Vargo

  • General Practice Dentistry
  • Conroe, TX
  • NPI 1750764858
  NPD Authorized official
• Mark Phillip Peters, D.D.S.

  • General Practice Dentistry
  • Conroe, TX
  • NPI 1497968796
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1104495209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 FAWNCLIFF DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770693107",
            "telephone_number": "832-242-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 N LOOP 336 W STE 207",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043580",
            "telephone_number": "936-759-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONROE ADVANCED DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "VARGO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "832-242-4337",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conroe Advanced Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Comprehnesive Assessment and Counsleing Connections
• Concheso & Priede Family Medicine, PLLC
• John W Conley, LPC
• Cameron Mitchell Connolly, DO
• Conore Oral Care PC
• Conroe Ambulatory Anesthesia PA
• Conroe Assisted Living, LTD.
• Conroe Clinic Corporation
• Conroe Dental Associates
• Conroe Dental Center PLLC

• Dental Clinic/Center in Conroe, TX
• Providers in Conroe, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.