Dr. Jackson Dean Mcdaniel , DDS
Dentist - General Practice • Conroe, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jackson Mcdaniel has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jackson Mcdaniel, DDS was a registered Dentist - General Practice practicing in Conroe, TX. Throughout an active medical career spanning 18 years, Dr. Mcdaniel provided care at the practice location at 13921 HIGHWAY 105 W # 151 until profile deactivation on 2024-03-06.
Practice Location & Contact Primary Location
13921 Highway 105 W # 151
Conroe, TX 773045703
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Conroe, TX
Practicing in Conroe, TX (10570 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 06, 2024
NPI status registered as active in NPPES database
Registered at 13921 HIGHWAY 105 W # 151, CONROE, TX 773045703 (Tel: 2814045242)
Registered at 13921 HIGHWAY 105 W # 151, CONROE, TX 773045703 (Tel: 2814045242)
Recorded as JACKSON MCDANIEL, D.D.S.
Dentist (License #10264 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
13921 Highway 105 W # 151
Conroe, TX 773045703
Phone: 2814045242
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