# LAKE CONROE DENTISTRY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Conroe Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457790982
- **Authorized official:** DR. JOHN S BARNES D.D.S. (OWNER)
- **Authorized official phone:** (936) 760-2800

## Contact information

- **Practice address:** 3915 WEST DAVIS STREET, SUITE 160, CONROE, TX 77304
- **Practice address phone:** (936) 760-2800
- **Practice address fax:** (936) 760-2801
- **Mailing address:** 17000 RED HILL AVE, IRVINE, CA 92614-5626
- **Mailing address phone:** (714) 845-8890
- **Mailing address fax:** (949) 474-1495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2013
- **Last updated:** 06/18/2013