Jeffrey David Neal, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

DN16406 Issued in FL

Practice address

871 Uss James Madison Road
Nmrtu Kings Bay
Kings Bay, GA 31547

Phone

(912) 573-4212

NPI assigned

Jan 28, 2006

Last updated

Mar 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1366413452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NMRTU KINGS BAY",
            "address_2": "881 USS JAMES MADISON RD, BLDG 1028",
            "city": "KINGS BAY",
            "state": "GA",
            "postal_code": "31547",
            "telephone_number": "912-573-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 USS JAMES MADISON ROAD",
            "address_2": "NMRTU KINGS BAY",
            "city": "KINGS BAY",
            "state": "GA",
            "postal_code": "31547",
            "telephone_number": "912-573-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Elizabeth Medina, LCSW
• Stephanie Mehr, IDHS
• D'Metric Maudell Moss
• Leah Moss, PA-C
• Kylie Napoli
• NH Jacksonville (Dod Kings Bay Pharmacy)
• Bruce Nemours Nunez, IDC, MLT, ASCP (CM)
• Jack Robert Olson, DDS
• Austin Lyle Parker, M.D.
• Zachary Parks, DMD

• Dentist in Kings Bay, GA
• Providers in Kings Bay, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.