George E Neal, DDS

Primary specialty

DentistTaxonomy code 122300000X

Practice address

#3 Doctors Park Road
Mount Vernon, IL 62864-6299

Phone

(618) 242-5054

NPI assigned

Nov 27, 2006

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neal Family Dentistry

  • Dentist
  • Mount Vernon, IL
  • NPI 1538607593
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629144282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#3 DOCTORS PARK ROAD",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646299",
            "telephone_number": "618-242-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#3 DOCTORS PARK ROAD",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646299",
            "telephone_number": "618-242-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "GEORGE",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nature Trail Health and Rehab Center LLC
• Nature Trail Health and Rehab Center LLC
• Mark Franklin Naylor, MD
• Neal Family Dentistry
• Charles W Neal, M.D.
• Michael Wesley Neal, D.M.D.
• Megan Jean Neely, M.D.
• Amanda Neibel, LCSW
• Lesley Dawn Nelson, LPN
• Sarah Elizabeth Nelson, OT

• Dentist in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.