Amam53 PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AMAM53 PLLC

Doing business as

Porter Smiles Dental

Practice address

21693 FM 1314
Porter, TX 77365

Phone

(773) 732-8288

NPI assigned

Jan 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Ahmad Millwala, DMD

Title

Partner/Owner

Phone

(773) 732-8288

Specialties & licenses 2

Addresses

Other names 1

• Porter Smiles Dental Doing business as

Locations

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1881102473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16226 PINON VISTA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770957196",
            "telephone_number": "773-732-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21693 FM 1314",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "77365",
            "telephone_number": "773-732-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAM53 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "MILLWALA",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "773-732-8288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Porter Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Andreas C. Nikolaidis M.D., P.a.

• General Practice Dentistry in Porter, TX
• Providers in Porter, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.