CONROE ADVANCED DENTISTRY, PLLC
NPI 1104495209
Clinic/Center - Dental in Conroe, TX
About Conroe Advanced Dentistry, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONROE ADVANCED DENTISTRY, PLLC (NPI 1104495209), doing business as Conroe Advanced Dentistry, is a healthcare organization registered as a dental in Conroe, Texas and active in the NPI registry since June 2021. The organization lists Stephen Paul Vargo, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Conroe Advanced Dentistry, PLLC's NPI number?
The NPI number for Conroe Advanced Dentistry, PLLC is 1104495209. It was assigned to this organization in the NPPES registry on June 22, 2021. The provider is doing business as Conroe Advanced Dentistry.
Where is Conroe Advanced Dentistry, PLLC located?
Conroe Advanced Dentistry, PLLC is located at 2040 N Loop 336 W Ste 207, Conroe, TX 77304. The listed phone number is (936) 759-2420.
What is Conroe Advanced Dentistry, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
When was this NPI record last updated?
The NPPES record for Conroe Advanced Dentistry, PLLC was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Conroe Advanced Dentistry, Pllc · NPI 1104495209
Dental organization in Conroe, Texas. Organization record, active in the CMS NPPES registry since June 22, 2021.
## Identity
- **NPI:** 1104495209 (Entity type: Organization)
- **Enumerated:** June 22, 2021
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Also known as:** Conroe Advanced Dentistry (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Stephen Vargo, MEMBER
## Practice location
- **Address:** 2040 N LOOP 336 W STE 207, Conroe, TX 77304-3580
- **Phone:** (936) 759-2420
## Record status
- **NPPES last updated:** June 22, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1104495209) · Data from the CMS NPPES public registry.