Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679711444 Individual Practitioner Female Practitioner

Dr. Alissa Medina , DMD

Dentist - General Practice • Conroe, TX

Professional Overview & Biography Verified Profile Summary

Dr. Alissa Medina, DMD is a registered healthcare professional specializing in Dentist - General Practice in Conroe, TX. Practice services are available at 605 S CONROE MEDICAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

605 S Conroe Medical Dr

Conroe, TX 773044722

Telephone 9365394004
Fax 9365213964
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Conroe, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
71 Specialists

Practicing in Conroe, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 26336

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.

Secondary Practice Locations

18230 Fm 1488 Rd Ste 203

Magnolia, TX 773544530

Phone: 9365394004

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003020504

Doctor of Medicine (M.D.)

NPI 1013536457

Doctor of Medicine (M.D.)

Dr. Sergio Gutierrez , MD

Student in an Organized Health Care Education/Training Program

NPI 1023742962

Doctor of Medicine (M.D.)

Sandra Wilson

Dental Hygienist

NPI 1033415930
NPI 1033607486

Doctor of Medicine (M.D.)

Dr. Amanda Chau , DO

Family Medicine

NPI 1033790761

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location April 23, 2026

Registered at 605 S CONROE MEDICAL DR, CONROE, TX 773044722 (Tel: 9365394004)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2026

Dentist (License #26336 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2019

Dentist (License #6916 in LA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2018

Dentist (License #26336 in TX)

📍
Updated Practice Location May 29, 2018

Registered at 2000 S UNIVERSITY AVE, LITTLE ROCK, AR 722043600 (Tel: 5016035357)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2018

Dentist (License #22D102379900 in NJ)

NPI Profile Active August 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2016

Registered at 605 S CONROE MEDICAL DR, CONROE, TX 773044722 (Tel: 9365394004)

📍
Updated Business Mailing Address August 10, 2016

Registered at 605 S CONROE MEDICAL DR, CONROE, TX 773044722 (Tel: 9365394004)

👤
Provider Name / Credentials Updated August 10, 2016

Recorded as ALISSA MEDINA, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2016

Dentist (License #26336 in TX)

🟢
Initial NPI Registration & Enumeration January 31, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679711444
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2009
Last Update: April 23, 2026
Sole Proprietor: No

Mailing Address

605 S Conroe Medical Dr

Conroe, TX 773044722

Phone: 9365394004

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.