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MAI VANTAGE DENTAL PLLC NPI 1053835488


NPI Information

NPI: 1053835488
Provider Name: MAI VANTAGE DENTAL PLLC

Doing Business As: RESTORATION SMILES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
28527 TOMBALL PKWY
TOMBALL, TX
ZIP 77375
Phone: (832) 613-7743
Get Directions

MAI VANTAGE DENTAL PLLC is a general practice dentist in Tomball, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MAI VANTAGE DENTAL PLLC NPI is 1053835488. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Restoration Smiles.

The provider's business location address is:

28527 TOMBALL PKWY
TOMBALL, TX
ZIP 77375-545
Phone: (832) 613-7743
Fax: (281) 907-8003

The provider's authorized official is Jennifer Mai .
The authorized official title is Owner and has the following contact phone number (832) 613-7743.

The enumeration date for this NPI number is 7/27/2017 and was last updated on 2/7/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice28160TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13093486-13MEDICAIDTEXAS
23728164-01MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.