Provider Demographics
NPI:1497707749
Name:NEELEY - NEMETH, LLP
Entity Type:Organization
Organization Name:NEELEY - NEMETH, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:R
Authorized Official - Last Name:NEELEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-327-6947
Mailing Address - Street 1:901 S MO PAC EXPY
Mailing Address - Street 2:BLDG. 1, STE. 470
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5776
Mailing Address - Country:US
Mailing Address - Phone:512-327-6947
Mailing Address - Fax:512-329-6472
Practice Address - Street 1:901 S MO PAC EXPY
Practice Address - Street 2:BLDG. 1, STE. 470
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5776
Practice Address - Country:US
Practice Address - Phone:512-327-6947
Practice Address - Fax:512-329-6472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23805122300000X
TX101521223G0001X
TX190431223G0001X
TX198811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No122300000XDental ProvidersDentistGroup - Single Specialty