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RESTORATION SMILES
NPI 1053835488
Dentist - General Practice in Tomball, TX

Active since July 27, 2017
28527 TOMBALL PKWY, TOMBALL, TX 77375(832) 613-7743(281) 907-8003 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 7, 2024, Dec 22, 2021, Aug 26, 2021 and 3 more (6 updates tracked since 2017).

About Restoration Smiles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESTORATION SMILES (NPI 1053835488) is a healthcare organization registered as a general practice in Tomball, Texas and active in the NPI registry since July 2017. The organization lists Jennifer Mai, Owner, as its authorized official.

NPPES Registry Identity

NPI1053835488
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMAI VANTAGE DENTAL PLLC
Location Address28527 TOMBALL PKWYTomball, TX 77375-4545
Mailing Address28527 Tomball PkwyTomball, TX 77375-4545 · (713) 623-1122 · Fax (281) 907-8003
Phone(832) 613-7743
Fax(281) 907-8003
Organization SubpartNo
Authorized OfficialJennifer MaiOwner · (832) 613-7743
Enumeration DateJuly 27, 2017
Last NPPES UpdateFebruary 7, 20246 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1053835488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 28160
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
28527 TOMBALL PKWY, Tomball, TX 77375
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Other Names 1

Doing Business AsRestoration Smiles

Other Identifiers 2

Medicaid3093486-13TX
Medicaid3728164-01TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Restoration Smiles is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Restoration Smiles, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Mai, D.D.S.
Oral Surgery
NPI 1669737219
28527 TOMBALL PKWY
Tomball, TX 77375
(713) 623-1122
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mai Vantage Dental PLLC's NPI number?

The NPI number for Mai Vantage Dental PLLC is 1053835488. It was assigned to this organization in the NPPES registry on July 27, 2017. The provider is doing business as Restoration Smiles.

Where is Mai Vantage Dental PLLC located?

Mai Vantage Dental PLLC is located at 28527 Tomball Pkwy, Tomball, TX 77375. The listed phone number is (832) 613-7743.

What is Mai Vantage Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mai Vantage Dental PLLC enrolled in Medicare?

Yes. Mai Vantage Dental PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mai Vantage Dental PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Mai Vantage Dental PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mai Vantage Dental PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Mai Vantage Dental PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mai Vantage Dental PLLC was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.