Man Tooth Oral Services PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MAN TOOTH ORAL SERVICES PLLC

Practice address

28527 Tomball Pkwy
Tomball, TX 77375-4545

Phone

(713) 623-1122

Fax

(281) 907-8003

NPI assigned

Oct 18, 2021

Organization subpart

No

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

Authorized official

Name

Khoa Nguyen

Title

Manager

Phone

(281) 547-7223

Specialties & licenses 1

Addresses

Practitioners 3

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

• Jennifer Mai, D.D.S.

  • General Practice Dentistry
  • Tomball, TX
  • NPI 1669737219
  NPD
• Eric S Moon, D.D.S.

  • General Practice Dentistry
  • Tomball, TX
  • NPI 1366841439
  NPD (past)
• Reagan Reynolds

  • Specialist
  • Pinehurst, TX
  • NPI 1720776461
  NPD (past)

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1336802230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28527 TOMBALL PKWY",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28527 TOMBALL PKWY",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754545",
            "telephone_number": "713-623-1122",
            "fax_number": "281-907-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAN TOOTH ORAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KHOA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-547-7223"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mai Vantage Dental PLLC (Restoration Smiles)
• Jennifer Mai, D.D.S.
• Majestic Dental PLLC (Majestic Dental)
• Alecia Walker Mallett, RN, NP-C
• Mamai Home Healthcare Corporation
• Jason J Manafi, PA
• Murtaza Mustafa Mandviwala, MD
• Mustafa Mandviwala, MD
• Taher Mustafa Mandviwala, M.D.
• Maria Mangual

• Dentist in Tomball, TX
• Providers in Tomball, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.