Jack M. Neagle Jr., DDS, PC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

22205 Issued in TX

Legal business name

JACK M. NEAGLE JR., DDS, PC

Practice address

1805 W White Oak Ter Ste C
Conroe, TX 77304-3456

Phone

(936) 539-2980

Fax

(936) 539-2969

NPI assigned

Feb 16, 2009

Last updated

Aug 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Anne Stearns

Title

Office Manager

Phone

(936) 539-2980

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Monroe Neagle Jr., DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Conroe, TX
  • NPI 1851595433
  NPD (past)

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1710126768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 W WHITE OAK TER STE C",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043456",
            "telephone_number": "936-539-2980",
            "fax_number": "936-539-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 W WHITE OAK TER STE C",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043456",
            "telephone_number": "936-539-2980",
            "fax_number": "936-539-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK M. NEAGLE JR., DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "STEARNS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "936-539-2980"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "22205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral & Maxillofacial Surgery (D.M.D.) in Conroe, TX
• Providers in Conroe, TX by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.