Organization Active NPI

Elite Smile Center of the Woodlands, PLLC

  • General Practice Dentistry
  • Shenandoah, TX
National Provider Identifier
1194604066
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELITE SMILE CENTER OF THE WOODLANDS, PLLC
Practice address
121 Vision Park Blvd Ste 130
Shenandoah, TX 77384-3028
Phone
(832) 404-2808
Fax
(832) 409-0201
NPI assigned
Aug 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rose Michelle Cantu, DDSNPI 1306094917
Title
Dentist Owner
Phone
(832) 404-2808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X

Addresses

Primary practice location

121 Vision Park Blvd Ste 130
Shenandoah, TX 77384-3028

Mailing address

121 Vision Park Blvd Ste 130
Shenandoah, TX 77384-3028
Phone (832) 404-2808

Other names 1

  • Elite Smile Center of The Woodlands Doing business as

National Provider Directory

National Provider Directory

Locations

121 Vision Park Blvd
Ste 130
Shenandoah, TX 77384
Phone (832) 404-2808

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1194604066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 VISION PARK BLVD STE 130",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843028",
            "telephone_number": "832-404-2808",
            "fax_number": "832-409-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 VISION PARK BLVD STE 130",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843028",
            "telephone_number": "832-404-2808",
            "fax_number": "832-409-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SMILE CENTER OF THE WOODLANDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "832-404-2808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Smile Center of The Woodlands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.