Donald C Neal Jr., DMD

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

010231 Issued in GA

Practice address

1587 Vernon Rd
Lagrange, GA 30240-4146

Phone

(706) 884-2655

Fax

(706) 883-7670

NPI assigned

Aug 20, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• West Ga Oral Surgery Associates, P.C.

  • Oral and Maxillofacial Pathology Dentistry
  • Lagrange, GA
  • NPI 1942403795
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821103086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 VERNON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404146",
            "telephone_number": "706-884-2655",
            "fax_number": "706-883-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1587 VERNON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404146",
            "telephone_number": "706-884-2655",
            "fax_number": "706-883-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "DONALD",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "GA",
            "license": "010231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000399605A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• N/a at Present Time, Will Be Working Contractprivateduty
• Jasmine Naheed, M.D.
• Madhavi M Naik, M.D.
• National Vision, Inc.
• National Vision, Inc. (America's Best Contacts & Eyeglasses)
• Cathy Neely
• Kim L Neese, LPC, BCCC, CADC II,
• Kristopher Nelson, DO
• Nephrology Consultants of West Georgia
• Neurology Center of West Georgia PC

• Oral and Maxillofacial Pathology Dentistry in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Oral and Maxillofacial Pathology Dentistry in Georgia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.