IndividualActive
Alissa Medina, DMD
NPI 1679711444 · General Practice Dentistry · Conroe, TX
Provider details
- NPI number
- 1679711444
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 26336 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
605 S Conroe Medical Dr
Conroe, TX 77304-4722
Phone: (936) 539-4004
Fax: (936) 521-3964
Street-level locationGet directions
Mailing address
605 S Conroe Medical Dr
Conroe, TX 77304-4722
Additional practice locations (1)
- 18230 Fm 1488 Rd Ste 203Magnolia, TX 77354-4530Phone: (936) 539-4004Fax: (281) 715-0558
Registry dates
- Enumerated
- 2009-01-31
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.