Organization Active NPI

Family Smiles Dental of Conroe PC

  • General Practice Dentistry
  • Conroe, TX
National Provider Identifier
1831647064
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24434 Issued in TX
Legal business name
FAMILY SMILES DENTAL OF CONROE PC
Practice address
100 Medical Center Blvd Ste 109
Conroe, TX 77304-2821
Phone
(936) 441-0033
Fax
(832) 442-3424
NPI assigned
Sep 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Authorized official

Name
Dr. Saad Salahuddin, DDS
Title
President
Phone
(415) 260-4075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 24434 TX Primary

Addresses

Primary practice location

100 Medical Center Blvd Ste 109
Conroe, TX 77304-2821

Mailing address

100 Medical Center Blvd Ste 109
Conroe, TX 77304-2821
Phone (936) 441-0033

National Provider Directory

National Provider Directory

Locations

100 Medical Center Blvd
Ste 109
Conroe, TX 77304
Phone (936) 441-0033

NPI Registry JSON

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1831647064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD STE 109",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042821",
            "telephone_number": "936-441-0033",
            "fax_number": "832-442-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD STE 109",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042821",
            "telephone_number": "936-441-0033",
            "fax_number": "832-442-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SMILES DENTAL OF CONROE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "SALAHUDDIN",
        "authorized_official_first_name": "SAAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-260-4075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.