Alan Keith Neal, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS035930 Issued in PA

Practice address

1067 Twining Dr
2ND Dental Squadron
Barksdale Afb, LA 71110-2486

Phone

(318) 456-4018

NPI assigned

Nov 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1164404943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9602 BALSA DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711153129",
            "telephone_number": "318-798-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 TWINING DR",
            "address_2": "2ND DENTAL SQUADRON",
            "city": "BARKSDALE AFB",
            "state": "LA",
            "postal_code": "711102486",
            "telephone_number": "318-456-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "ALAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elysia Montgomery, DMD
• Catrina Tia Moore, PA-C
• Kenterea Murphy
• Matthew Naedel, MD
• Dillon Vonn Nails
• Cam Tran Nguyen, DMD
• Laci O'Donnell, DO
• Jody Lee Ohmer, IDMT
• Alexandra Okai, D.D.S
• Justin Michael Owens, M.D.

• General Practice Dentistry in Barksdale Afb, LA
• Providers in Barksdale Afb, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.