Provider Demographics
NPI:1528176211
Name:MCNEIL, MICHAEL H (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:H
Last Name:MCNEIL
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13740 RESEARCH BLVD. BLDG.K-4
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1832
Mailing Address - Country:US
Mailing Address - Phone:512-258-8080
Mailing Address - Fax:512-258-5338
Practice Address - Street 1:13740 RESEARCH BLVD. BLDG.K-4
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1832
Practice Address - Country:US
Practice Address - Phone:512-258-8080
Practice Address - Fax:512-258-5338
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX098681223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics