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FANTASTIC SMILES OF HOUSTON PLLC
NPI 1164390464
Dentist - General Practice in Houston, TX

Active since October 28, 2025
2617 W HOLCOMBE BLVD STE 1, HOUSTON, TX 77025(832) 862-1111(832) 487-9247 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fantastic Smiles Of Houston Pllc NPPES

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

FANTASTIC SMILES OF HOUSTON PLLC (NPI 1164390464), doing business as Fantastic Smiles Of Houston, is a healthcare organization registered as a general practice in Houston, Texas and active in the NPI registry since October 2025. The organization lists Jenny Garcia, Payer Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1164390464
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFANTASTIC SMILES OF HOUSTON PLLC
Location Address2617 W HOLCOMBE BLVD STE 1Houston, TX 77025-1757
Mailing Address2617 W Holcombe Blvd Ste 1Houston, TX 77025-1757 · (832) 862-1111 · Fax (832) 487-9247
Phone(832) 862-1111
Fax(832) 487-9247
Organization SubpartNo
Authorized OfficialJenny GarciaPayer Enrollment Manager · (972) 869-3789
Enumeration DateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1164390464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.

2617 W HOLCOMBE BLVD STE 1, Houston, TX 77025
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Other Names 1

Doing Business AsFantastic Smiles Of Houston

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

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 Fantastic Smiles Of Houston PLLC's NPI number?

The NPI number for Fantastic Smiles Of Houston PLLC is 1164390464. It was assigned to this organization in the NPPES registry on October 28, 2025. The provider is doing business as Fantastic Smiles of Houston.

Where is Fantastic Smiles Of Houston PLLC located?

Fantastic Smiles Of Houston PLLC is located at 2617 W Holcombe Blvd Ste 1, Houston, TX 77025. The listed phone number is (832) 862-1111.

What is Fantastic Smiles Of Houston PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Fantastic Smiles Of Houston PLLC was last updated on October 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.