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SMILE CONROE, PA
NPI 1265648984
Dentist - General Practice in Conroe, TX

Active since May 16, 2007
1002 N LOOP 336 W, CONROE, TX 77301(936) 760-3050(936) 441-3068 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Smile Conroe, Pa NPPES

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

SMILE CONROE, PA (NPI 1265648984), doing business as Kenneth Osamor Dds Pa, is a healthcare organization registered as a general practice in Conroe, Texas and active in the NPI registry since May 2007. The organization lists Kenneth Osamor, President, as its authorized official.

NPPES Registry Identity

NPI1265648984
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMILE CONROE, PA
Location Address1002 N LOOP 336 WConroe, TX 77301-1829
Mailing Address1002 N Loop 336 WConroe, TX 77301-1829 · (936) 760-3050 · Fax (936) 441-3068
Phone(936) 760-3050
Fax(936) 441-3068
Organization SubpartNo
Authorized OfficialKenneth OsamorPresident · (936) 760-3050
Enumeration DateMay 16, 2007
Last NPPES UpdateFebruary 1, 2021
NPPES CertifiedFebruary 1, 2021
✔ NPI 1265648984 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 · 21886
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.
1002 N LOOP 336 W, Conroe, TX 77301
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Other Names 1

Former Legal Business NameKenneth Osamor Dds Pa

Other Identifiers 3

Medicaid181571401TX
Medicaid181TX
Other21886TX · License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 ›

Other Providers at the Same Location NPPES 2

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

DR. GILBERT MWACHIA MWANYANGE DMD
Dentist (General Practice)
1002 N LOOP 336 W
CONROE, TX 77301
Montgomery County (936) 760-3050
CONROE DENTAL PC
Dentist
1002 N LOOP 336 W
CONROE, TX 77301
Montgomery County (936) 760-3050

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 Smile Conroe, PA's NPI number?

The NPI number for Smile Conroe, PA is 1265648984. It was assigned to this organization in the NPPES registry on May 16, 2007. The provider was formerly known as Kenneth Osamor Dds PA.

Where is Smile Conroe, PA located?

Smile Conroe, PA is located at 1002 N Loop 336 W, Conroe, TX 77301. The listed phone number is (936) 760-3050.

What is Smile Conroe, PA's specialty?

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

What insurance does Smile Conroe, PA 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 2 other insurers list Smile Conroe, PA 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 Smile Conroe, PA was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.