ADVENTURE SMILES PLLC (NPI# 1366788689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366788689 |
| Entity Type | Organization |
| Organization Name | ADVENTURE SMILES PLLC |
| Other Organization Name | ADVENTURE SMILES |
| Practice Address |
3707 College Park Dr The Woodlands TX 77384-4867 |
| Practice Telephone | 2812403267 |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |
| Authorized Official Name | JAMES PHAM (OWNER) |
| Authorized Official Telephone | 2812403267 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
24161 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| Adventure Smiles | Doing Business As Name - Organization |
| Street Address |
3707 COLLEGE PARK DR |
| City | THE WOODLANDS |
| State | TX |
| Zip Code | 77384-4867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104381441 | Reshanda Baudy | Registered Nurse | 2477 F.m. 1488 Rd, 536, Conroe, TX 77384 | 2019-01-31 |
| 1841768447 | Alina Nichole Smith | Physical Therapist | Texas Children's Hospital - The Woodlands, 17580 Interstate 45 South, The Woodlands, TX 77384 | 2018-11-13 |
| 1952878472 | Courtney Nicole Jersey | Physician Assistant | 17600 I-45 South, Conroe, TX 77384 | 2018-11-02 |
| 1558851394 | Woodlands Integrative Care Hospital | Psychiatric Hospital | 1006 Windsor Lake Blvd., Suite 200, Conroe, TX 77384 | 2018-05-17 |
| 1326570334 | Surgeons Assistant Rita Yamel David Inc | Specialist/Technologist, Other | 3720 College Park Dr # 6304, Conroe, TX 77384 | 2017-03-29 |
| 1316483191 | Jason Cazares | Specialist/Technologist | 17450 St. Luke's Way, Medical Arts Center IIi, #350, The Woodlands, TX 77384 | 2017-01-17 |
| 1023564325 | 1488 Family Medicine Group, Pllc | Clinic/Center | 2400 Fm 1488, Suite 400, Conroe, TX 77384 | 2016-08-28 |
| 1740641976 | Signature Smiles Woodlands, Pllc | Clinic/Center | 2400 Fm 1488 Suite 200, Conroe, TX 77384 | 2016-03-16 |
| 1427397256 | David William White | Dentist | 3600 Farm To Market Rd 1488 #90, Conroe, TX 77384 | 2013-02-14 |
| 1740549542 | North Woods Family Medicine Pllc | Family Medicine | 17350 St.luke's Way, Suite 350, The Woodlands, TX 77384 | 2012-05-14 |
| Find all providers in zip 77384 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676440 | Sarah Suki | Dentist | 6700 Woodlands Pkwy Ste 160, The Woodlands, TX 77382-2577 | 2020-10-14 |
| 1275188674 | Zachary Reed Stephens | Dentist | 4200 Research Forest Dr Ste 200, The Woodlands, TX 77381-4235 | 2019-08-03 |
| 1013400597 | Catherine Marie Walker | Dentist | 9006 Forest Xing Ste A, The Woodlands, TX 77381-1155 | 2018-06-11 |
| 1245673672 | Made Ya Smile The Woodlands Pllc | Dentist | 3759 Fm 1488 Rd, Ste 100, The Woodlands, TX 77384-3994 | 2013-04-16 |
| 1609146166 | Jeff Yuan Shao | Dentist | 7901 Research Forest Dr Ste 1100, The Woodlands, TX 77382-1484 | 2011-12-30 |
| 1376823260 | The Woodlands Modern Dentistry and Orthodontics, PC | Dentist | 9595 Six Pines Dr Ste 1370, The Woodlands, TX 77380-1540 | 2011-08-23 |
| 1144510322 | Erica K Baker Dds | Dentist | 9955 Woodlands Pkwy, Suite B, The Woodlands, TX 77382-2926 | 2011-04-08 |
| 1629234018 | Grogans Mill Dental, PC | Dentist | 25210 Grogans Mill Rd, Ste A, The Woodlands, TX 77380-2378 | 2008-08-05 |
| 1932384294 | Brett Murphey | Dentist | 1400 Research Forest Drive, Suite 120, The Woodlands, TX 77381 | 2008-01-07 |
| 1023205119 | John E Kacher | Dentist | 4223 Research Forest Dr, Suite 500, The Woodlands, TX 77381-4557 | 2007-10-02 |
| Find all providers in THE WOODLANDS | ||||
| City | THE WOODLANDS |
| Zip Code | 77384 |
Please comment or provide details below to improve the information on ADVENTURE SMILES PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.