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PHANTASTIC SMILES PA NPI 1710438049


NPI Information

NPI: 1710438049
Provider Name: PHANTASTIC SMILES PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
102 FAIRMONT PKWY
PASADENA, TX
ZIP 77504
Phone: (713) 473-0058
Get Directions

PHANTASTIC SMILES PA is a general practice dentist in Pasadena, 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. PHANTASTIC SMILES PA NPI is 1710438049. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

102 FAIRMONT PKWY
PASADENA, TX
ZIP 77504-742
Phone: (713) 473-0058

The provider's authorized official is Minh Hong Phan .
The authorized official title is President and has the following contact phone number (713) 473-0058.

The enumeration date for this NPI number is 10/21/2016 and was last updated on 10/21/2016.


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 Practice19016TEXASYes

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

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