Active NPI
Family Smiles Dental of Conroe PC
- General Practice Dentistry
- Conroe, TX
National Provider Identifier
1831647064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 24434
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.