Jeffrey David Neal, D.D.S
Individual provider Active NPI Dentist · Kings Bay, GA
NPI 1366413452 · NPPES record last updated Mar 13, 2025
Key facts
- NPI
- 1366413452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN16406 (FL)
- Practice address
- 871 Uss James Madison Road
Nmrtu Kings Bay
Kings Bay, GA 31547 - Phone
- (912) 573-4212
- NPI assigned
- Jan 28, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN16406 | FL | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN16406 | FL | Yes |
Addresses
Primary practice location
871 Uss James Madison Road
Nmrtu Kings Bay
Kings Bay, GA 31547
Mailing address
Nmrtu Kings Bay
881 Uss James Madison Rd, BLDG 1028
Kings Bay, GA 31547
Phone (912) 573-4212
Other providers in Kings Bay, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.