Conroe Family Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23937 Issued in TX

Legal business name

CONROE FAMILY DENTISTRY PLLC

Practice address

1362 Wilson Rd
Conroe, TX 77304-2146

Phone

(936) 539-2211

Fax

(936) 539-2216

NPI assigned

Feb 17, 2014

Organization subpart

No

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

Authorized official

Name

Logan Wood, DDSNPI 1386808699

Title

Member

Phone

(936) 539-2211

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Logan Wood, D.D.S.

  • General Practice Dentistry
  • Conroe, TX
  • NPI 1386808699
  NPD Authorized official
• Radley B Robins, DDS

  • General Practice Dentistry
  • Conroe, TX
  • NPI 1639477417
  NPD
• Michael Guzman, DDS

  • Dentist
  • The Woodlands, TX
  • NPI 1538510581
  NPD (past)
• Patrick Joseph Iglinsky Sr., DDS

  • General Practice Dentistry
  • Conroe, TX
  • NPI 1164441796
  NPD (past)

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1689098303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 WILSON RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042146",
            "telephone_number": "936-539-2211",
            "fax_number": "936-539-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 WILSON RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042146",
            "telephone_number": "936-539-2211",
            "fax_number": "936-539-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONROE FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "936-539-2211",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conroe Doctors Urgent Care LLC (Doctors Urgent Care)
• Conroe Eye Clinic, LLP (Regent Opticians)
• Conroe Eye Clinic, LLP ((1) Conroe Woodlands Eye Clinic, (2) Woodlands Eye Clinic)
• Conroe Eye Clinic, LLP (Conroe Woodlands Eye Clinic)
• Conroe Eyes
• Conroe Family Doctor PLLC
• Conroe Family Medicine, PA
• Conroe Fsed LLC
• Conroe Home Medical Equipment, Inc
• Conroe Independent School District

• General Practice Dentistry in Conroe, TX
• Providers in Conroe, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.