OrganizationActive
Montgomery Comprehensive Dental Center
NPI 1619354693 · Exclusive Provider Organization · Conroe, TX
Provider details
- NPI number
- 1619354693
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Rachel Stark, Financial Coordinator(936) 539-3636
- License
- 16499 (TX)
Specialties & taxonomies
Managed Care Organizations
Practice location
2210 N Frazier St
Suite #120
Conroe, TX 77303-1780
Phone: (936) 539-3636
Fax: (936) 539-3639
Approximate (ZIP-level) locationGet directions
Mailing address
0951 Lonestar Parkway
Montgomery, TX 77356-0951
Registry dates
- Enumerated
- 2015-04-29
- Last updated
- 2015-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.