MY SMILE ARTIST, PLLC
NPI 1205478377
Clinic/Center - Dental in San Antonio, TX

Active since October 10, 2019
1130 E SONTERRA BLVD STE 110, SAN ANTONIO, TX 78258(210) 496-9967 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About My Smile Artist, Pllc NPPES

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

MY SMILE ARTIST, PLLC (NPI 1205478377), doing business as My Smile Artist, is a healthcare organization registered as a dental in San Antonio, Texas and active in the NPI registry since October 2019. The organization lists Mohamed Imam, Dentist, as its authorized official.

NPPES Registry Identity

NPI1205478377
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMY SMILE ARTIST, PLLC
Location Address1130 E SONTERRA BLVD STE 110San Antonio, TX 78258-4236
Mailing Address1130 E Sonterra Blvd Ste 110San Antonio, TX 78258-4236 · (210) 496-9967
Organization SubpartNo
Authorized OfficialMohamed ImamDentist · (210) 496-9967
Enumeration DateOctober 10, 2019
NPI 1205478377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1130 E SONTERRA BLVD STE 110, San Antonio, TX 78258

Other Names 1

Doing Business AsMy Smile Artist

Other Identifiers 1

Other1770677445TX · Npi

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1130 E SONTERRA BLVD STE 110
SAN ANTONIO, TX 78258

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 My Smile Artist, PLLC's NPI number?

The NPI number for My Smile Artist, PLLC is 1205478377. It was assigned to this organization in the NPPES registry on October 10, 2019. The provider is doing business as my smile artist.

Where is My Smile Artist, PLLC located?

My Smile Artist, PLLC is located at 1130 E Sonterra Blvd Ste 110, San Antonio, TX 78258. The listed phone number is (210) 496-9967.

What is My Smile Artist, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for My Smile Artist, PLLC was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.