ELITE ORAL SURGERY CONROE PLLC
NPI 1336826593
Dentist - Oral and Maxillofacial Surgery in Montgomery, TX

Q: What is Elite Oral Surgery Conroe PLLC's NPI number?

The NPI number for Elite Oral Surgery Conroe PLLC is 1336826593. It was assigned to this organization in the NPPES registry on June 29, 2023. The provider is doing business as Elite Oral & Facial Surgery Conroe.

Q: What is Elite Oral Surgery Conroe PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since June 29, 2023

15260 TX 105 W, SUITE 154, MONTGOMERY, TX 77356(832) 416-1341(832) 529-1461 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Elite Oral Surgery Conroe Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE ORAL SURGERY CONROE PLLC (NPI 1336826593), doing business as Elite Oral & Facial Surgery Conroe, is a healthcare organization registered as an oral and maxillofacial surgery in Montgomery, Texas and active in the NPI registry since June 2023. The organization lists Jackie Carranza, General Manager/hr, as its authorized official.

NPPES Registry Identity

NPI1336826593

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameELITE ORAL SURGERY CONROE PLLC

Location Address15260 TX 105 W, SUITE 154Montgomery, TX 77356

Mailing Address15260 Tx 105 W, Suite 154Montgomery, TX 77356 · (832) 416-1341 · Fax (832) 529-1461

Phone(832) 416-1341

Fax(832) 529-1461

Organization SubpartNo

Authorized OfficialJackie CarranzaGeneral Manager/hr · (281) 256-8400

Enumeration DateJune 29, 2023

NPPES CertifiedJune 19, 2023

✔ NPI 1336826593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

15260 TX 105 W, Montgomery, TX 77356

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Other Names 1

Doing Business AsElite Oral & Facial Surgery Conroe

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Elite Oral Surgery Conroe PLLC's NPI number?

The NPI number for Elite Oral Surgery Conroe PLLC is 1336826593. It was assigned to this organization in the NPPES registry on June 29, 2023. The provider is doing business as Elite Oral & Facial Surgery Conroe.

Where is Elite Oral Surgery Conroe PLLC located?

Elite Oral Surgery Conroe PLLC is located at 15260 Tx 105 W Suite 154, Montgomery, TX 77356. The listed phone number is (832) 416-1341.

What is Elite Oral Surgery Conroe PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Elite Oral Surgery Conroe PLLC was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.