Michael Tyler Neal, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14041382-9926 Issued in UT

Practice address

Commanding Officer, Naval Medical Center Camp Lejeune
100 Brewster Blvd
Camp Lejeune, NC 28547

Phone

(910) 450-4357

NPI assigned

Aug 13, 2024

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": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1225869985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 AZALEA PLANTATION BLVD",
            "city": "MAYSVILLE",
            "state": "NC",
            "postal_code": "285559606",
            "telephone_number": "310-944-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMANDING OFFICER, NAVAL MEDICAL CENTER CAMP LEJEUNE",
            "address_2": "100 BREWSTER BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "28547",
            "telephone_number": "910-450-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "MICHAEL",
        "middle_name": "TYLER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "14041382-9926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naval Medical Center Camp Lejeune
• Amy Elizabeth Navarrette, RDH, BSDH, MED
• Stephen Andrew Naymick II, DO
• NDC Camp Lejeune
• Richard Dean Neading
• William Edward Neason, IDC
• Chad Jeremy Nelson
• Neely Frank Nelson, SFIDC
• Rachel Anne Neubert, D.O.
• Doris C. Newsom, RPH

• General Practice Dentistry in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.