Active NPI
Ms Dental PLLC
- General Practice Dentistry
- Shenandoah, TX
National Provider Identifier
1609427699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MS DENTAL PLLC
- Practice address
- 8821 Metropark Dr Ste 1500
Shenandoah, TX 77385-6215 - Phone
- (617) 281-3189
- NPI assigned
- Sep 22, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Kim, DMD
- Title
- Owner
- Phone
- (281) 501-7770
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
8821 Metropark Dr Ste 1500
Shenandoah, TX 77385-6215
Mailing address
114 Wild Garden CT
Conroe, TX 77304-5094
Phone (617) 281-3189
Other names 1
- Aesthetic Smiles
National Provider Directory
National Provider DirectoryLocations
8821 Metropark Dr
Ste 1500
Shenandoah, TX 77385
Phone (617) 281-3189
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Magnolia, TX
- NPI 1205210929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744588800000",
"number": "1609427699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 WILD GARDEN CT",
"city": "CONROE",
"state": "TX",
"postal_code": "773045094",
"telephone_number": "617-281-3189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8821 METROPARK DR STE 1500",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773856215",
"telephone_number": "617-281-3189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MS DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-22",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-501-7770",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aesthetic Smiles",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Aesthetic Smiles",
"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 Apr 14, 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.