Robert G McNeill, D.D.S., M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

21642 Issued in TX

Practice address

1530 Forest LN S
Ste D
Garland, TX 75042-7950

Phone

(972) 272-8751

Fax

(972) 272-8752

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1881638989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3132 PURDUE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752257721",
            "telephone_number": "972-272-8751",
            "fax_number": "972-272-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 FOREST LN S",
            "address_2": "STE D",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427950",
            "telephone_number": "972-272-8751",
            "fax_number": "972-272-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEILL",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "21642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1732729-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darion McMillan
• Kimberly J McMillin, M.D.
• Mark O. McMorris, WHCNP
• Allison La Vonne McNeely, ATC, LAT
• Jennifer Lee McNeill, M.D.
• Ann Marie McStravick, PT, DPT
• MD24 TX, PA
• Md2Rx LLC
• MDS Digital X-Ray Inc
• MDS Digital X-Ray Inc

• Oral and Maxillofacial Surgery (Dentist) in Garland, TX
• Providers in Garland, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.