OrganizationActive
Elite Oral Surgery Conroe PLLC
NPI 1336826593 · Oral and Maxillofacial Surgery (Dentist) · Montgomery, TX
Provider details
- NPI number
- 1336826593
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Jackie Carranza, General Manager/Hr(281) 256-8400
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15260 Tx 105 W
Suite 154
Montgomery, TX 77356
Phone: (832) 416-1341
Fax: (832) 529-1461
Street-level locationGet directions
Mailing address
15260 Tx 105 W
Montgomery, TX 77356
Other names (DBA / former)
- Doing business as
- Elite Oral & Facial Surgery Conroe
Registry dates
- Enumerated
- 2023-06-29
- Last updated
- 2023-06-29
- Certified
- 2023-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.